Patient Access Representative - Urgent Care Ryland

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.
• Acquire and enter demographic, clinical, and financial information into the computer system.
• Explain and obtain signatures on admission, clinical, and financial forms.
• Collect accident information.
• Identify all insurance payer sources and payer order sequence.
• Verify insurance eligibility and obtain insurance notifications.
• Document all information collected timely and in accordance with department requirements.
• 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.
• Assist in completing departmental tasks.
• Solve problems following established company guidelines.
• Follow established company guidelines to decrease accounts receivables.
• Deal with the unexpected, establish priorities, and adjust performance style when necessary.
• Ensure all matters related to patient information are kept secure, meeting confidentiality compliance standards set by The Joint Commission and HIPAA.
• Identify the patient's financial obligation and follow standard operating procedures regarding point of service collections.
• Perform order entry.
• Document subscriber information, determine payer order sequence, and obtain notification as required by payer for services being rendered.
• Use above-average computer application skills.
• Follow verbal and written instructions.
• Adaptability to a fast-paced environment with heavy physician/physician office staff interaction.
• Prioritize and multitask 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.
• Working knowledge of health care insurance.
• Knowledge of governmental programs billing requirements.
• 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.
• 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.
• Above average computer application skills.
• Ability to follow verbal and written instructions.
• Flexibility to adapt to different Admitting department locations.