Patient Representative BBC PRN

Responsibilities

• Greet and register patients accurately and efficiently.
• Verify insurance eligibility using online systems.
• Provides and/or completes required patient forms.
• Collects and enters payments, follows required balancing procedures.
• Analyzes, interprets and enters physician orders.
• Schedules and communicates appointment information accurately and efficiently for multiple facilities and ancillary departments.
• Verifies insurance for scheduled and urgent emergent patients following guidelines established per payer and obtains authorization based on payer specific criteria.
• Accurately completes assigned work queues.
• Identify financial counseling needs.
• Maintain confidentiality in verbal, written and electronic communication.
• Follows established processes, protocols, and workflows.
• Takes initiative to resolve problems and meet patient needs.

Requirements

• Current knowledge of billing and coding requirements and the ability to apply these based on industry standards is required.
• Ability to resolve patient financial issues and negotiate payment arrangements.
• Representatives must fully understand the ramifications and impact of incomplete or inaccurate information to patient care and the overall revenue cycle.
• Employees providing direct patient care must demonstrate competencies specific to the population served.
• High school diploma or general education degree (GED) required.
• Previous customer service experience required.
• Knowledge of HIPAA and confidentiality requirements, insurance payer regulations and requirements, and patient rights.
• Knowledge of revenue cycle components and his/her role in the ability to impact the overall process.
• Knowledge of the impact of accurate registration has on patient satisfaction.
• Analytical skills to solve simple to semi complex problems.
• Organization, prioritization and time management skills.
• Concentrate and pay close attention to detail.
• Ability to multi-task.
• Be flexible to facilitate change.
• Ability to maintain composure in a position that has considerable deadlines, customer contact and high volumes of work which produces levels of mental/visual fatigue which are typical of jobs that perform a wide variety of duties with frequent and significant uncontrollable deadlines.
• Work may include the operation of and full attention to a personal computer or CRT up to 40 percent of the time.
• The job produces some physical demands. Typical of jobs that include regular walking, standing, stooping, bending, sitting, and some lifting of light weight objects.

Qualifications

• Certified Healthcare Access Associate (CHAA) Preferred.
• Associate's degree in related field, or 2 years related experience and/or training in a healthcare environment preferred (Would consider 2 years of experience in a business office setting).