Patient Access Representative

Overview

Job Summary: Professionally and courteously interviews patients and/or family members

to obtain accurate and complete demographic, financial, and medical information for the registration/admission process and patient identification. Verifies insurance eligibility and benefits. Estimates patient responsibility, collects, and posts payments. Ensures the  smooth flow of patients through  registration areas. Provides excellent customer service and service recovery.  Demonstrates through behavior Decatur Morgan Hospital’s mission, vision and values

Responsibilities

Key Responsibilities / Essential Functions

Accurately identifies patient records using 2 patient identifiers

Greets and interviews patients or calls and interviews patients by phone to obtain all necessary insurance and demographic information.

Accurately enters data into the registration system, including medical, demographic, insurance, precertification, and medical necessity data.

Verifies insurance benefits, precertification status, and medical necessity information.

Determines patient financial responsibility, collects and posts all applicable copays, deductibles, and co-insurance balances.

Assists patients in making payment arrangements when appropriate.

Completes all registrations and preregistrations in a timely manner.

Assists patients with completing all necessary admission forms.

Escorts patients to treatment locations.

Performs registration duties with minimal supervision or guidance.

Provides coverage in other Patient Access areas as needed.

Provides excellent customer service and service recovery when needed.

Required to attend all departmental staff meetings.

Successfully completes all required tests and quizzes in NetLearning

Responsible for knowledge of all pertinent policies and procedures.

Must be able to multi-task and prioritize multiple simultaneous duties.

Must utilize AIDET and HEATT to problem solve with patients, visitors, co-workers and staff from other departments.

Responsible for managing personal time and attendance, notifying supervisor immediately of issues.

Qualifications

 Minimum Knowledge, Skills, Experience Required:

Education / Certification:

             High School / GED required. Post-secondary education preferred.

Experience

Two years customer service strongly preferred. Previous registration, scheduling, insurance, medical records, or billing experience preferred.

Additional Skills / Abilities

             Excellent verbal and written skills required. Must possess ability to work in a fast-paced environment with a positive attitude. Must demonstrate effective time management skills. Must demonstrate efficiency and organizational skills with the                     ability to multitask. Proficiency in Microsoft Office Suite strongly preferred.