Patient Access Representative

Patient Access Representative

Responsible for performing the patient access process, completing accurate registration and pre-registration process and insurance verification for eligibility, scheduling for various departments procedures / appointments, entering patient data for services for departments participating in PHS (Pathways Healthcare Scheduling), coordinating multiple services in proper sequence, and informing patient / doctor's office as to preparations and insurance requirements for each service. Collaborates with multiple departments to best utilize equipment and facilities, while accommodating physician preference and patient needs. Displays a courteous, professional manner, proactively developing customer relationships and giving high priority to customer satisfaction.

Ability to type 30 wpm and familiarity with computer systems and applications required. Ability to pass the basic medical terminology test with a passing grade. Completion of Patient Management Registration Course and Pathways Healthcare Scheduling Course with at least an 85% grade on the final exams prior to receiving access codes within 90 days of start date. Strong interpersonal skills necessary to provide scheduling and registering patients and to clearly communicate with a variety of customers of all ages and cultures. Ability to work independently, organize tasks, problem solve, and devise acceptable solutions in a fast-paced work environment. Ability to simultaneously gather verbal information through the use of the telephone and enter data into an on-line computer terminal. Excellent customer service orientation skills necessary in order to deal effectively with various levels of hospital personnel, outside customers and community groups.

One year work experience related to patient registration, insurance verification, and / or medical terminology required, normally gained by working in a hospital or physician's office setting including customer interaction service OR 6 months emergency services experience related to patient registration, insurance verification, and / or medical terminology required. One year experience with ICD-9-CM and CPT coding as a Registrar or Patient Access Professional preferred.

Interviews the patient / family for admission and outpatient registration by entering the appropriate required information on-line. Performs insurance eligibility verification by phone or on the Internet. Independently schedules procedures for all departments and any subsequent departments added to Pathways, utilizing individual departmental grids, resources and guidelines. Determines if authorization is required for the patient's service and secures authorization for treatment / procedures prior to service being rendered. Determines an understanding of hospital policies, prevailing regulatory and third-party requirements (MSP questionnaire, pre-certification process, consent forms, etc.) Recognizes and problem solves conflicts associated with time requests, resources, equipment or staff for each department. Coordinates multiple hospital services such as surgical procedures, ancillary testing, etc., in proper sequence and according to the rules of the system, which may include managed care requirements and clinical standards.

Requires ability to sit up to 100% of time using a computer terminal, typing, and answering phones. Working weekends and holidays as necessary to meet staffing needs. Work on different shifts may be assigned as necessary to meet staffing requirements. May be required to work overtime.

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.