Patient Access Representative - Regional Lab & Imaging

Position Purpose

This position is responsible to perform all registration, scheduling, order entry and reception functions and may float to various admitting sites within the health system. This position expedites and provides healthcare access through the accurate gathering of demographic, sponsorship or guardian data, insurance, clinical, financial, and statistical information from a variety of sources.

Responsibilities

• Accurately gather and enter demographic, clinical, and financial information into the computer system.
• Explaining and obtaining signatures on admission, clinical and financial forms.
• Collecting accident information.
• Identifying all insurance payer sources.
• Identifying payer order sequence.
• Verifying insurance eligibility.
• Obtaining insurance notification.
• Charge order entry processing.
• Determining estimated cost for services being rendered.
• Identifying and collecting patient financial obligation amounts, i.e. co-payments, co-insurance, deductibles, etc.
• Documenting all information collected timely and in accordance with 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, order entry and reception functions and assists in completion of departmental tasks.
• Solves problems following established company guidelines.
• Follows established guidelines, regulations, policies and procedures during the registration process.
• Ensures reimbursement for services rendered through verification of insurance eligibility/benefits, obtaining insurance authorization within required time frame, identification and collection of patient financial obligation and accurate charge order entry.

Requirements

• High School Diploma or GED preferred.
• 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.
• Knowledge of health care insurance.
• The ability to accurately document subscriber information, determine payer order sequence and obtain notification as required by payer for services being rendered.
• Must be able to ensure all matters related to patient information are kept secured, meeting confidentiality compliance standards set by The Joint Commission and HIPAA.
• Knowledge of governmental programs billing requirements.
• The ability to identify the patient’s financial obligation, i.e. deductible, co-payment, co-insurance, etc. and follow standard operating procedures regarding point of service collections.
• Skills to perform order entry.
• Above average computer application skills.
• Ability to follow verbal and written instructions.
• Scheduling skills adaptable to a fast pace environment with heavy physician/physician office staff interaction.
• Ability to be flexible and adapt to different Admitting department locations.