Access Services Representative 2 - PRN

Access Services Representative 2

The Access Services Representative 2 collects accurate demographics and insurance information to register patients. They verify insurance benefits and collect patient financial responsibilities. Passionately cross-trains and works in all assigned areas. Serves as a mentor or trainer for peers.

Essential Functions of the Role :

• Conducts and documents patient interviews to obtain demographic and financial data for registration, insurance verification, precertification, and billing.
• Knows the patient flow processes in each area.
• Identifies process improvement opportunities that promote team concepts with co-workers while improving revenue cycle functions and the patient experience.
• Interacts regularly with other areas and departments to provide information on patient delays and schedule changes.
• Verifies patient eligibility for insurance coverage and benefit levels for services. Calculates and collects patient liability due per financial clearance policies for existing or bad debt accounts.
• Establishes patient liability and advises patient of deposit requirements per policy. Negotiates payment arrangements with patient where necessary per policy.
• May be responsible for cashiering duties following established policies and procedures. This could take up most of the incumbent's responsibilities in the department.
• Assists patients to nursing units by providing directions, personal escort, or medical mobility assistance, like wheelchairs. Escalates potential service issues to management when necessary.
• Adhere to compliance for order validation, cash policy, government payor, and patient safety requirements for proper patient identification.
• Conducts formal, documented training and serves as a resource to others.
• Proactively accepts new responsibilities as identified by leadership. Performs revenue cycle duties at multiple areas / locations as assigned.

Key Success Factors :

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