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Patient Access Representative

Patient Access Representative

Emory HealthcareAlpharetta, GA, US
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Patient Access Representative

Be inspired. Be valued. Belong. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide :

  • Comprehensive health benefits that start day 1
  • Student loan repayment assistance & reimbursement programs
  • Family-focused benefits
  • Wellness incentives
  • Ongoing mentorship, development, leadership programs
  • And more

Responsibilities

  • A Patient Access Representative will assist in the coordination, prioritization and completion of front-end patient registration activities ranging from pre-registration through discharge in the Patient Access Services Department.
  • The representative will ensure patient insurance verification is accomplished and all requirements are met.
  • Accurately completes patient registrations based on departmental protocols and standards, policies and procedures, and compliance with regulatory agencies. Calls patients to pre-register or confirm appointments.
  • A Patient Access Representative prioritizes work for optimal reimbursement and to avoid financial risk to both patient and hospital.
  • Ensures all insurance requirements are met prior to or on the date of service and informs patients of their financial liability and collects liability due.
  • Identifies patients who require early financial counseling intervention.
  • Ensures all uninsured patients are referred to a financial counselor as appropriate.
  • A Patient Access Representative will also assist patients, guarantors and families with insurance questions in a professional manner and is responsible for escalating any unaddressed insurance benefit concerns to the department Financial Counselor.
  • Maintains confidentiality of patient information, employee information and other information covered by regulations or professional ethics.
  • Performs duties in support of the EHC Patient Access Mission Statement.
  • Maintains thorough understanding of insurance, registration, scheduling, referrals, authorizations, and account follow-up.
  • Maintains knowledge of multiple department system applications utilized by Patient Access Familiar with and adheres to all state and federal regulations such as EMTALA, CMS, HIPAA, and JCAHO guidelines Effectively communicates identified issues and concerns in a constructive and professional manner. Participates in generating ideas and solutions for improvements.

    • Minimum Qualifications :

  • High school diploma or equivalent; associate or bachelor degree preferred. Working knowledge of Health Plan coverage types.
  • 3 years experience in Patient Access or Revenue Cycle required CHAA or CPAR certification is preferred.
  • Cross-trained in all areas of Patient Access specific to the entity.
  • Assist with but not limited to special projects, preceptor / training, application testing, and report maintenance Current working knowledge of registration, insurance, and billing requirements is required.
  • Knowledge of key terms such as : ABN, ICD, medical terminology, precertification, etc. required. Excellent interpersonal, verbal, and written communication skills and ability to speak and write effectively at a level appropriate for the job. Ability to work well with individuals at all levels of the organization.
  • Experience using general office equipment. Proven ability to work in a fast-paced, demanding team environment with daily deadlines.

    • Additional Details

    Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

    Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

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    Patient Representative • Alpharetta, GA, US

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