Patient Access Representative - Night Shift

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

• Expedites and provides healthcare access through the accurate gathering of demographic, sponsorship, or guardian data, insurance, clinical, financial, and statistical information from various sources.
• Ensures 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.
• Serves patients and their families in a manner that makes the admission process as comfortable and pleasant as possible.
• Acquires and accurately enters demographic, clinical, and financial information into the computer system.
• Explains and obtains signatures on admission, clinical, and financial forms.
• Collects accident information, identifies all insurance payer sources, determines payer order sequence, verifies insurance eligibility, obtains insurance notification, and charges orders.
• Determines estimated costs for services being rendered and collects patient financial obligations, such as co-payments, co-insurance, deductibles, etc.
• Documents all information collected in a timely manner and according to department requirements.
• Explores the financial need of the patient and, when appropriate, refers the customer to the appropriate federal, state, or county assistance agencies.
• Schedules, orders entries, and performs reception functions while assisting in completing departmental tasks.
• Solves problems following established company guidelines.
• Communicates diplomatically and effectively during stressful situations.
• Anticipates customer needs, deals with the unexpected, establishes priorities, and adjusts performance style when necessary.
• Keeps patient information secure, adhering to confidentiality compliance standards set by The Joint Commission and HIPAA.
• Identifies the patient's financial obligation, follows standard operating procedures regarding point-of-service collections, and performs order entry.
• Uses above-average computer application skills and follows verbal and written instructions.
• Adapts to a flexible schedule and prioritizes tasks in a fast-paced environment.

Requirements

• High School Diploma or GED preferred.
• Requires six months of admitting, medical claims processing, professional office experience and/or customer service experience with financial interaction. One year preferred.
• Experience with Windows Operating systems, SMS InVision, Internet, and SMS IMS Document Imaging is preferred.
• Must possess or be able to obtain within 90 days the computer skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.