Patient Access Representative - Internal Agency - Jackson

Responsibilities

• Effectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty.
• Represents the Patient Access department in a professional, courteous manner at ALL times.
• Calls patients by name.
• Greets patients in a courteous and professional manner.
• Adheres to the Passport accuracy percentage rate of 97.5 or above on a consistent basis when registering accounts.
• Serves as team lead, lean Process improvement participant, new hire preceptor/mentor and/or auditor for regulatory and billing compliance.
• Calculates and collects the estimated patient portion, based on benefits and contract reimbursement as well as prior balances.
• Utilizes appropriate language and behavior to collect patient financial responsibility.
• Collects co-payments, deductibles, deposits and/or amounts due on previous accounts.
• Demonstrates knowledge and ability to review notes on all pre-admitted accounts and discuss with customer in a courteous and professional manner.
• Demonstrates knowledge and ability to review and explain previous accounts.
• Demonstrates knowledge and ability to complete account acknowledgement forms when appropriate.
• Collects cash, prints receipts, and balances cash drawers.
• Demonstrates knowledge and ability to verify eligibility and obtain necessary authorizations for services rendered.
• Completes Medicare Secondary Payor Questionnaire.
• Utilizes online eligibility.
• Obtains authorization/verification of required insurance companies.
• Utilizes appropriate software and worksheets to calculate patient financial responsibility.
• Performs financial assessment for appropriate program assistance.
• Utilizes appropriate guidelines to assist patient with financial responsibility.
• Demonstrates accuracy in selected insurance plans (I-plans).
• Serves in a team lead role (if assigned).
• Participates in/assists with performance improvement initiatives and demonstrates an understanding and compliance of all department policies and procedures.
• Mentors and trains other associates.
• Acts as auditor for regulatory and billing compliance.

Qualifications

• High School diploma or equivalent.
• 2 years relevant experience in the healthcare industry.
• Related certification (e.g. Certified Coder, Certified Medical Assistant) substitutes for 1 year of experience.