Patient Access Representative - Incentivized Career Ladder

About the role

This position is responsible for performing all registration, scheduling, order entry, and reception functions within the health system. This role also involves floating to various admitting sites.

Responsibilities

• Accurately gather demographic, sponsorship, or guardian data, insurance, clinical, financial, and statistical information from various sources.
• Ensure reimbursement for services rendered through verification of insurance eligibility/benefits, obtaining insurance authorization within required time frames, identifying and collecting patient financial obligations, and accurate charge order entry.
• Serve patients and their families in a manner that makes the admission process comfortable and pleasant.
• Avoid accounts receivables by following established guidelines, regulations, policies, and procedures during the registration process.
• Collect accident information, identify all insurance payer sources, determine payer order sequence, verify insurance eligibility, obtain insurance notification, and charge order entry processing.
• Determine estimated costs for services being rendered and identify and collect patient financial obligation amounts, such as co-payments, co-insurance, deductibles, etc.
• Document all information collected in a timely and compliant manner.
• Explore the financial need of the patient and refer them to appropriate federal, state, or county assistance agencies when necessary.
• Schedule, order entry, and reception functions while assisting in completing departmental tasks.
• Solve problems following established company guidelines and refer issues involving negative impacts on the company to a supervisor.

Requirements

• Professionalism and diplomacy in interacting with patients of all ages, their families, physicians, physician office staff, and other healthcare providers.
• Working knowledge of health care insurance.
• Knowledge of governmental programs billing requirements.
• Ability to identify the patient's financial obligation and follow standard operating procedures regarding point of service collections.
• Basic computer application skills.
• Ability to follow verbal and written instructions.
• Scheduling skills adaptable to a fast-paced environment with heavy physician/physician office staff interaction.
• Flexibility to adapt to different Admitting department locations.

Qualifications

• High School Diploma or GED preferred.
• At least six months of admitting, medical claims processing, professional office experience and/or customer service experience with financial interaction.
• One year of experience preferred.
• Experience with Windows Operating systems, SMS InVision, Internet, and SMS IMS Document Imaging is preferred.