Patient Access Representative Full Time

Oklahoma City, Oklahoma – Community Hospital South

Status: Full-Time/Regular

About the Role

Community Hospital is hiring a Full-Time Patient Access Representative with a $500 Sign-On Bonus! We’re offering an exciting opportunity to work alongside a dedicated, compassionate team where you are valued just as much as the patients we serve. At Community Hospital, we are guided by our C.A.R.E.S. values: Compassion is required, Attitude is valued, Respect is demanded, Excellence is expected, and Service is commended.

Benefits

As an organization, we provide a comprehensive benefits package that includes:

• Medical, dental, vision, and prescription coverage
• Life and AD&D coverage
• Short- and long-term disability
• Flexible financial benefits including FSAs, HSAs, and Daycare FSA
• 401(k) and access to retirement planning
• Employee Assistance Program (EAP)
• Paid holidays and vacation

Responsibilities

The Patient Access Representative is responsible for the complete and accurate registration of all patients obtaining services at the facility. This includes:

• Accurately gathering and entering patient information into the computer as received from the patient and/or the physician’s office
• Verifying benefits for non pre-registered patients
• Obtaining signatures on required forms
• Collecting co-payments, deductibles, and co-insurance from patients at the time of service
• Ensuring an efficient, complete, and timely patient registration process that models the customer service philosophy of the facility

Essential Functions:

• Communicate with clinical departments or Scheduling Representative to obtain scheduled appointments and/or orders prior to the service date
• Pre-register 98% of all scheduled patients a minimum of three (3) business days in advance of their arrival
• Obtain, validate, and accurately enter the patient’s demographic and insurance information while maintaining an acceptable accuracy rate (95% plus)
• Thoroughly review the MPI to avoid duplicate medical records numbers
• Obtain signatures on all necessary forms and documents required by hospital and by law
• Ensure MSP Questionnaire is completed for every Medicare registration
• Work closely and cooperatively with physician office staff, schedulers, and other hospital departments to schedule and prepare required information before the patient’s arrival
• Utilize online programs to verify insurance eligibility and benefits, documenting findings on the patient account
• Assist by contacting the insurance company for pre-authorizations and pre-certifications as required prior to patient receiving service
• Effectively communicate with physician office staff to resolve authorization issues and coordinate registrations
• Collect co-payment, deductible, or co-insurance previously identified by the Insurance Verification Specialist or as indicated on the insurance card or online eligibility system
• Ensure compliance with the EMTALA regulation for all patients if working in Emergency registration
• Log cash collected, generate receipts, and maintain balanced cash at all times
• Meet monthly cash collection goals as determined collaboratively by Department Director/Manager and CBO
• Consistently obtain and copy/scan insurance cards and driver licenses
• Know the functions of the phone system to professionally handle incoming calls, appropriately transfer calls, and assist with internal calls
• Perform the reception/greeter function at the front desk entrance as needed
• Verify medical licensure and check Medicare Sanctions websites for non-credentialed physicians ordering outpatient diagnostic tests
• Demonstrate premier customer service and communication skills with all internal and external customers/contacts
• Meet established quality and productivity standards for self and for the team
• Anticipate and adapt to change (e.g., hospital policy changes, operational/procedures, insurance changes) in a positive manner
• Foster and reinforce team-based results
• Adhere to time and attendance standards as outlined in the Human Resource Policy manual
• Ensure patient confidentiality adhering to HIPAA guidelines
• Demonstrate the knowledge, skills, and abilities (competencies) to perform the duties annually
• Track and monitor productivity as requested
• Keep Department Director or Team Lead apprised of any delays in the registration process
• Remain current on scheduling, registration, insurance verification, and other patient registration processes to cover in the absence of other team members
• Perform other duties as assigned

Qualifications

• High School graduate or equivalent required; 2 years college preferred
• Experience in patient registration, verification, and authorization in a medical center or comparable institution demonstrating the skill, knowledge, and ability to perform registration duties preferred
• Working knowledge of governmental regulations and other reimbursement criteria preferred
• Ability to accurately type 40 WPM, complete forms, simple correspondence, handle payment transactions, and enter data
• Excellent verbal and written communication as well as interpersonal skills required
• Demonstrated ability to handle multiple tasks with short time-lines, prioritize and organize work, and complete assignments in a timely and accurate manner
• Exceptional ability to interact and communicate effectively, tactfully, and diplomatically with patients, families, medical staff, co-workers, employers, and insurance company representatives
• Must have a pleasant disposition, positive attitude, and possess the ability to maintain a cordial and professional approach during periods of stress
• Skill in using office equipment: basic computer skills, photocopier, telephone, fax machine, and calculator
• Demonstrated ability to think and act decisively in a timely manner
• Ability to maintain operational knowledge of all insurance requirements necessary to achieve optimal reimbursement