Medical University of South Carolina

Health sciences university in Charleston, SC

Patient Access Representative 1-4

Clinical Support & Patient AdministrationPosted on Nov 6

Full-timeSouth Carolina, USANo salary listedIn-person

About the Job

Requirements

A high school diploma or equivalent (GED) and one year of customer service experience are required.
Excellent customer service skills are required.
Ability to receive and express detailed information through oral and written communications is required.
Ability to use proper negotiation techniques to professionally collect money owed by patients or guarantors is required.
Knowledge of insurance plans and benefits is required.
Computer literacy and ability to operate multiple applications, such as Microsoft Office, are required.
Minimum typing speed of 35–40 words per minute is required, with certified typing test results.
Eye-hand coordination and manual dexterity are required.
Ability to use office equipment such as computer terminals, telephones, and copiers is required.
Knowledge of medical terminology is required.
Ability to handle multiple tasks simultaneously is required.
Ability to work Friday, Saturday, and Sunday, and flexibility to work flexible and staggered shifts, is required.
Ability to perform substantial walking is required.
Ability to perform job functions while standing, sitting, and walking frequently; climb stairs infrequently; work indoors continuously; work at elevated areas frequently and in confined or cramped spaces infrequently; kneel and squat infrequently; bend at the waist frequently; perform repetitive hand, wrist, elbow, and shoulder motions frequently; reach in all directions frequently; and maintain good finger dexterity continuously is required.
Ability to use both legs and both hands or arms fully, lift and carry 15 pounds unassisted, lift or lower 15 pounds between the floor and 36 inches, and lift 15 pounds from 36 inches to overhead is required at the stated frequencies.
Ability to maintain corrected 20/40 vision in one eye or both eyes, recognize objects at close hand or at a distance, distinguish colors, determine depth perception in selected positions, and maintain corrected hearing acuity is required at the stated frequencies.
Ability to perform gross motor functions with frequent fine motor movements and work in a latex-safe environment is required continuously.
Ability to maintain tactile sensory functions is required frequently; selected positions also require good olfactory sensory function frequently and physical qualification for respirator use initially and as required.
High school diploma with two years of customer service experience is listed as an essential requirement.

Responsibilities

Confirm, enter, and update required demographic information for patients and guarantors in registration systems each day to support maximum payment.
Obtain or explain copies of insurance cards, identification, and required signatures, and scan documents into the imaging documentation system.
Complete the Medicare Secondary Payer questionnaire when applicable and discuss advance directives with patients, obtaining a copy for the patient record when available.
Review regulatory forms and information with patients, including the Notice of Privacy Practice and billing information.
Verify insurance through real-time eligibility tools, payer websites, or phone calls to determine coordination of benefits, and obtain required authorizations or referrals.
Identify patients accurately and apply patient identification bracelets when applicable.
Register patients during system downtime according to downtime procedures and enter data into the registration system when it becomes available.
Provide service recovery to patients and visitors as needed at the point of service.
Verify financial information and insurance coordination of benefits, including pre-certification and prior-authorization requirements, by contacting insurers or using verification technology.
Inform self-pay patients of prepayment requirements or screen them for funding sources.
Prepare procedure estimates, calculate advance payment requirements, and explain acceptable payment arrangements for previous and current balances.
Refer potentially eligible patients to contract eligibility vendors to pursue funding reimbursement.
Coordinate with clinical areas to set patient financial expectations and help resolve revenue-cycle issues.
Maintain current knowledge, requirements, and skills to perform daily duties and meet facility, unit, and payer performance metrics by reading required communications and attending training.
Collect patient payments, issue receipts, and complete required receipt fields accurately.
Contact patients before service to explain expected financial liability, educate them about their benefits, and accept payment over the phone when the patient agrees.
Coordinate with providers when payment cannot be collected from the patient and obtain a waiver for services when necessary.
Post payments accurately in the system.
Reconcile receipts against cash collected and complete required balancing forms at the end of each shift.
Complete the Medicare Secondary Payer questionnaire for all Medicare patients before discharge to comply with Centers for Medicare & Medicaid Services requirements.
Complete all assigned MyQuest (OurDay) training modules.
Process complete registrations in required systems and maintain thorough knowledge of the hospital registration system and peripheral equipment, including fax machines, copiers, printers, downtime systems, and scanning systems.
Process registrations using the various workflows employed by the department.
Complete registration information in the required format and update any incomplete registration edit within eight hours of admission.

Desired Qualifications

Patient Access Certification is preferred.
One year of relevant experience in a medical office or hospital is preferred.
Ability to interpret and apply financial procedures and regulations is preferred.
Previous experience with hospital information systems or word processing is preferred.

Job Description Summary

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC002306 CHSCorp OH - Hospital Admissions

Pay Rate Type

Hourly

Pay Grade

Health-21

Scheduled Weekly Hours

Work Shift

Job Description

POSITION DESCRIPTION

POSITION PURPOSE

Reporting to the Patient Access Manager, the Patient Access Associate exhibits a high level of customer service while verifying and preparing all patient accounts for inpatient and outpatient billing in order to maximize payment for Hospital and Clinic services. Reviews and verifies all payment methods available (insurance, self-pay, agency), verifies patient/insurance information, works with patients to set up payment arrangements and to arrange/apply for assistance programs, assists in collecting copayments and deductibles, and problem solves basic billing inquiries.

Primary Duties and Responsibilities:
OBTAINS/CONFIRMS AND ENTERS/UPDATES DEMOGRAPHIC AND INSURANCE INFORMATION FOR ALL PATIENTS
•Consistently confirms, enters, and/or updates all required demographic data on patient and guarantor in registration system(s) on a daily basis to achieve maximum payment.
•Secures and/or explains copies of insurance card(s), forms of ID, and signature(s) on all required forms and scans them into the appropriate imaging documentation system.
•Consistently completes the Medicare Secondary Payer (MSP) questionnaire, if applicable.
•Discusses Advanced Directives with patients and obtains a copy for the patient’s record, if available.
•Reviews all other regulatory forms and information with the patient, such as Notice of Privacy Practice and Billing information.
•Verifies insurance using Real Time Eligibility, Payer Website, or phone number to determine coordination of benefits and obtains authorization and/or referrals as required.
•Follows procedures to accurately identify a patient and apply the patient identification bracelet, if applicable.
•Registers patients during downtime following downtime procedures and enters data into registration system immediately upon system availability.
•Performs Service Recovery as needed at the point of service with patients and visitors.

VERIFIES INSURANCE COVERAGE, SCREENS PATIENT FOR POTENTIAL FUNDING SOURCES, AND SETS EXPECTATIONS FOR REIMBURSEMENT OF SERVICES.
•Verifies financial information to determine insurance coordination of benefits, pre-certification/prior-authorization requirements by contacting the insurance company or through other verifying technology.
•Informs self-pay patients of prepayment requirements or screens for funding sources
•Prepares estimate of procedures, calculates advance payment requirements, informs patient of acceptable payment arrangements on previous and current balances
•Refers potentially eligible patients to contract eligibility vendor(s) to pursue funding reimbursement
•Coordinates with clinical areas to establish patient financial expectations and assist in the resolution of revenue cycle issues
•Maintains up to date knowledge, requirements, and skills to perform daily duties and meet key performance metrics for the facility, unit, and payers. For example, employee must read all e-mails/newsletters and attend required training sessions.

COLLECTS, POSTS, AND RECONCILES ALL PAYMENTS FROM PATIENTS
•Consistently collects patient payments and provides receipt accurately completing all required fields.
•Calls patient prior to date of service to inform them of their expected financial liability. Will educate patient on their respective benefits and accept payment over the phone is patient agrees.
•Coordinates with appropriate providers when payment is unable to be collected from the patient. If necessary, secure a waiver for services.
•Accurately posts all payments on system.
•Accurately reconciles receipts with cash collected and completes required balancing forms at the end of their shift.

PERFORMS OTHER POSITION APPROPRIATE DUTIES AS REQUIRED IN A COMPETENT, PROFESSIONAL, AND COURTEOUS MANNER

Ability to perform job functions while standing. (Frequent) Ability to perform job functions while sitting. (Frequent) Ability to perform job functions while walking. (Frequent) Ability to climb stairs. (Infrequent) Ability to work indoors. (Continuous) Ability to work from elevated areas. (Frequent) Ability to work in confined/cramped spaces. (Infrequent) Ability to perform job functions from kneeling positions. (Infrequent) Ability to bend at the waist. (Frequent) Ability to squat and perform job functions. (Infrequent) Ability to perform repetitive motions with hands/wrists/elbows and shoulders. (Frequent) Ability to reach in all directions. (Frequent) Possess good finger dexterity. (Continuous) Ability to fully use both legs. (Continuous) Ability to fully use both hands/arms. (Continuous) Ability to lift and carry 15 lbs. unassisted. (Infrequent) Ability to lift/lower objects 15 lbs. from/to floor from/to 36 inches unassisted. (Infrequent) Ability to lift from 36 inches to overhead 15 lbs. (Infrequent) Ability to maintain 20/40 vision, corrected, in one eye or with both eyes. (Continuous) Ability to see and recognize objects close at hand or at a distance. (Continuous) Ability to match or discriminate between colors. (Continuous) (Selected Positions) Ability to determine distance/relationship between objects; depth perception. (Continuous) Ability to maintain hearing acuity, with correction. (Continuous) Ability to perform gross motor functions with frequent fine motor movements. (Continuous) Ability to work in a latex safe environment. (Continuous) *Ability to maintain tactile sensory functions. (Frequent) *(Selected Positions) *Ability to maintain good olfactory sensory function. (Frequent) *(Selected Positions) *Ability to be qualified physically for respirator use, initially and as required. (Continuous) (Selected Positions)

Knowledge, Skills, and Abilities:
•Excellent customer service skills are required
•Ability to receive and express detailed information through oral and written communications.
•Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
•Knowledge of insurance plans and benefits
•Computer literate and able to operate in multiple applications such as Microsoft Office
•Minimum typing skills of 35-40 wpm (certified typing test results required)
•Requires eye-hand coordination and manual dexterity
•Requires the use of office equipment, such as computer terminals, telephone, and copiers
•Knowledge of medical terminology.
•Able to handle multiple tasks simultaneously.
•Ability to work weekends, Friday, Saturday, and Sunday. Must be flexible and able to work flex and staggered shifts
•Requires substantial amount of walking

Education Requirements (Essential Requirements):
•High School Diploma with 2 years of customer service experience
•Patient Access Certification (preferred)
•One (1) year relevant experience in a medical office or hospital preferred.

Job Responsibilities (ON EVALS)

MSP Audit:

Must complete MSPQ on all Medicare patients to be compliant with CMS prior to discharge.

MYQUEST (NOW OURDAY)

Complete all required MyQuest training modules assigned by department supervisor

Performs Registration Process:

A.) Process complete registrations in the required systems.

B.) Must have a thorough knowledge of the hospital registration system including knowledge and use of peripheral equipment (fax, copier, printers, downtime system, scanning system).

C.) Able to process registrations in various flows used by department.

Registration Quality:

Users are required to complete specific information with the proper format during the registration process. Any incomplete edit generated from the registration process will need to be updated within 8 hours of admission

Additional Job Description

High school diploma or equivalent (GED), with 1 year of customer service experience. Ability to interpret and apply financial procedures and regulations preferred. Previous experience with hospital information systems or word processing preferred.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees

About the Company

Medical University of South Carolina

Health sciences university in Charleston, SC

Medical University of South Carolina is a public academic health sciences university in Charleston, South Carolina. It offers bachelor's, master's, doctoral, and professional degrees through six colleges in dental medicine, graduate studies, health professions, medicine, nursing, and pharmacy.

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