Rehab Patient Access Representative

Job Description Summary

Responsibilities

• Collects accurate and complete patient information (i.e., legal name, permanent/local address, phone number, next of kin, employer, guarantor, insurance information, physician etc.,) and enters in the system within the established time frames.
• Verifies insurance information, which includes eligibility, benefits (i.e., Deductibles, co-payments, out of pocket expenses, maximum lifetime coverage, exclusion/limitations/pre-existing conditions, etc.), and obtains appropriate referrals, pre-certification, and/or authorizations for all patient as follows: scheduled patients no later that 24 hours. Unscheduled patients at point of service within the established time frames.
• Enters complete insurance verification information, which includes eligibility, benefits (i.e., Deductibles, co-payments, out of pocket expenses, maximum lifetime coverage, exclusion/limitations/pre-existing conditions, etc.) in the insurance verification screen and note fields.
• Safeguards a copy of insurance cards, front and back, as well as a copy of a picture ID is obtained and scanned at time patient appears for service.
• Provides and explains all registration documents (i.e., General consent forms, Advance Directive information, Patient Rights information and Privacy Notice information).
• Greets all patients when they arrive for their appointments. Checks their status and announces their arrival to the therapists.
• Makes all transportation arrangements for patients that require assistance.
• Assists patient in understanding his/her insurance benefits and explains hospital financial and deposit policies including up front collections.
• Fulfills established guidelines for up-front collections and collects and disburses revenue ensuring at all times 100% accuracy of all ledgers and receipts in accordance with established guidelines.
• After completion of registration process, ensures all registration documents, as well as orders, accompany the patient to the appropriate area.
• Enters specific therapy related occurrence codes as required and maintains accuracy of codes on subsequent registrations throughout the treatment duration.
• Obtains Patient Outcome (FOTO) Surveys and ensures accurate entry into the computer program by the patients and therapists.
• Consistently demonstrates a clear understanding of departmental needs and job functions as assigned by department Manager and/or Team Leader.
• Demonstrates full knowledge of Compliance Advisor's functionality as it relates to Medicare Compliance and accurately enters diagnosis according to prescription to check for ABN compliance.
• Ensures that every registration has attached correct procedure (PT, OT, ST, CR), diagnosis (no R/O), printed physician's name and address on RX/referral and signature of doctor when indicated.
• Maintains compliance of Patient Access processes and Federal State and Local Laws and regulatory standards (AHCA, HIPPA, Medicare, Medicaid, EMTALA, COBRA, etc.).
• Demonstrates knowledge and proper use of scheduling program, department policies regarding cancellations and no shows.
• Demonstrates knowledge and proper use of HPF and QCI.
• Demonstrates knowledge and proper use of Avility Web MD and RTE applications.
• Demonstrates flexibility as well as ability to perform multiple functions within the Patient Access department.
• Demonstrates knowledge and applies customer service strategies at all times.

Qualifications

• Licenses/Registrations/Certifications: Not applicable
• Education: High school graduate or equivalent level of training. Some college preferred
• Experience: One year practical experience in computer usage. One year prior expiernce in registration, collections and insurance verifications preferred
• Skills: Excellent communication and customer service skills

Benefits

• Health benefits
• Life insurance
• Long-term disability coverage
• Healthcare spending accounts
• Retirement plan
• Paid time off
• Pet Insurance
• Tuition reimbursement
• Employee assistance program
• Wellness program
• On-site housing for select positions and more!