Patient Access Representative I, PRN

Job Requirements

The position is PRN Rotating. All new hires will train for 4-6 weeks on the day shift regardless of the shift they are hired into.

Principal Responsibilities And Tasks

• Fulfills the first point of contact for patients and visitors entering the facilities, responsible for all aspects of customer service in Patient Access/Patient Administrative Services areas.
• Collects and verifies patient and insurance demographics, verifies insurance benefits and coverage, provides cost estimates, secures pre-certifications and/or pre-notifications for patient services, collects co-pay and deposits prior to services, and provides financial assistance to patients.
• Provides wayfinding to all clinics, assists with registration assistance, maintains regulatory and functional knowledge of all registration information required, ensures timely and accurate reporting/billing, obtains all required signatures, and performs clerical duties as necessary.
• Edits and educates patients regarding adequate insurance coverage, understands applicable hospital and physician billing requirements, communicates the proper procedures and requirements to patients, communicates coverage issues to the service areas, works with patients and staff to resolve, ensures accuracy and completion of paperwork, prior to filing admissions, contacts physician/clinical staff to assist with incomplete patient registration paperwork, distributes admission documents if required.
• Maintains department scheduling templates for applicable providers in outpatient department locations, ensures appropriate scheduling utilization, maintains consistent contact with the Care Management team and Social Work departments to ensure required information has been obtained for reimbursement, and that pre-admission and pre-certification requirements are followed.
• Aids the supervisor in training of new Admitting staff by demonstrating department operating processes and procedures.

Work Experience

• A high school level education with attainment of a high school diploma or a State High School Equivalency Certificate (GED) is required.
• Certification and memberships to local organizations such as AAHAM, NAHAM, etc. are preferred.
• One year of work experience in a clerical, customer service or receptionist position, preferably in a healthcare setting is required. Two years' work experience is preferred.

Additional Information

All your information will be kept confidential according to EEO guidelines.

Compensation Pay Range: $17.00 - $21.39

Other Compensation (if applicable): Shift Differentials

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