Patient Access Representative (EFM Guyton) Full-Time

Job Summary

The Patient Access Representative will assist non-emergent patients, perform registration, maintain documentation, verify insurance, accept payments, and communicate with various parties.

STANDARDS OF PERFORMANCE

• Performs registration for all patients presenting for service.
• Obtains, inputs, and transcribes accurate patient data.
• Completes necessary forms including proper documentation/signatures, insurance information, either on paper or on scanner.
• Enters data into the computer with minimal errors.
• Performs as a cashier for payments and maintains cash receipts with accuracy.
• Meets non-emergent patients to discuss treatment options and financial options.
• Affirms insurance status. Verifies insurance benefits.
• Calculates and collects appropriate deductibles and/or co-insurance from patients on services rendered or to be rendered.
• Obtains payment of applicable co-payments and/or deductibles according to health plans.
• Discusses with uninsured patients their financial obligations and referral options as per policy.
• Navigates through the Availity or Ability software systems to obtain patient’s financial responsibility.
• Sets up financial agreement according to hospital guidelines for any balance due.
• Explains Helping Hands program option, if applicable.
• Scans of all records into electronic medical records.
• Provides Advance Directives information to all patients as per hospital policy/procedure.
• Acts as an ambassador for the facility by interacting with clients, family members, and staff in a friendly caring manner.

Requirements

• Minimum Level of Education: Education level equivalent to completion of High School is required. Completion of a Patient Access or Financial Services-specific to Healthcare curriculum or equivalent is highly preferred.
• Formal Training: None Required.
• Licensure, Certification, Registration: None Required.
• Will be required to attain Hometown Health Certification in Financial Counseling by the 90-day review.
• Working knowledge of health insurance, deductibles, co-pays, and co-insurance required.
• Minimum of twenty-four months (2 years) experience in customer service, patient registration, and collections preferred.
• The job requires a comfort level without pocket collections activities, as well as a thorough understanding of the accuracy needed for the capture of demographic and third-party payer information.