PATIENT ACCESS REP - Evenings

PATIENT ACCESS REP - Evenings

JOB SUMMARY

The Patient Access Rep performs detailed and accurate registration of all patients. Displays a broad understanding of third-party reimbursement issues. Assists ancillary departments with room assignment and transporting of patients. Works under the supervision of the Patient Access Supervisor or Administrative Director, Revenue Cycle.

ESSENTIAL FUNCTIONS

Greets and interviews incoming patients / relatives to obtain accurate demographic and insurance information.

Inputs patient demographic / billing information into computer. Obtains patient or responsible party's signature on consents. Creates face sheets, armbands, labels, and other documents as necessary.

Communicates to patients the details of consents, filing of insurance, and payment of hospital services. Assists patients in understanding hospital billing and collection of payment.

Collects and scans insurance cards or completed insurance forms from patients. Obtains necessary signatures on consent form for treatment according to hospital policies and procedures.

Obtains payment / co-payments and deposits from patients as appropriate or refers patient to Patient Accounting to make standard payment arrangements.

Interprets Physician Orders to incorporate up to 9 Service Types and over 31 Service Locations while identifying qualifying requirements for each.

Interprets Physician Orders to implement correct accommodation codes directly affecting patients charges and appropriate billing for services.

Provides and incorporates accurate patient status changes directly related to ensuring patient activity / services reflect all Physician / Provider Order Entries.

Incorporates QAS Address Verification System into each registration to confirm address legitimacy with US Postal Service.

Incorporates Waystar Insurance Eligibility Product to validate insurance coverage with each registration.

Initiates, audits, and supports Medicare Secondary Payer Questionnaire for all Medicare registrations to ensure compliance and requirements of reimbursement.

Provides 24 / 7 Answering Service support to Community Physicians.

Performs next day audits on all registrations, including ancillary registration areas, to ensure accuracy in registrations, promote positive reimbursement results and reduce overall AR days.

Distributes registration records each day to appropriate departments and Referring Physicians.

Cross trains in at least two of the four areas of Patient Access (Outpatient Registration, ER, PBX, and / or Pre-Admissions)

Contributes to required on-call obligations to help maintain 24 / 7 coverage in the Emergency room Patient Access area.

Directs patients to appropriate ancillary departments. Coordinates with nursing supervisor and / or Nursing unit to arrange proper bed assignment and transports or arranges for transport of patient to nursing unit.

Performs receptionist duties while answering telephones, paging overhead / radio, taking messages for doctors and nurses, and contacting physicians for patients or ER Physicians.

Provides coverage for PBX for breaks, lunches and after hours. Performs all functioning duties there during coverage times and daily after 8 : 30pm, including answering and directing all incoming calls, calling of all codes, accepting payments, and providing information to patients and visitors.

Operates printer, scanner, credit card terminal and copy machine.

Maintains confidentiality of all personnel and patient care and relations information.

Actively participates in Strategic Quality Management for the department and organization. Actively participates in Customer / Guest Relations and Mandatory Educations programs.

Complies with the hospital's Corporate Compliance Program including, but not limited to, the Code of Conduct, laws and regulations, and hospital policies and procedures.

Must be free from governmental sanctions involving health care and / or financial practices.

Other duties as assigned. This list is non-exhaustive.

JOB QUALIFICATIONS

Education

High School graduate or GED equivalent, preferred

Experience

Prior medical office and / or hospital admitting experience including billing preferred.

Prior customer relations experience required. Prior computer, keyboarding and 10-key calculator experience required.

Medical terminology knowledge preferred.

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