Patient Access Representative

Description

General Summary: A nonexempt position responsible for coordinating, verifying and inputting information for patient registration.

Essential Job Responsibilities:

1. Greets incoming patients, checks-in patients, explains registration paperwork, copies medical ID cards, collects copayments, and arrives patients.

2. Opens and closes office according to CNS protocols.

3. Balances cash and prepares daily cash report.

4. Assures all check-in procedures are completed and monitors patient wait times, communicating changes to the patient as necessary

5. Understands general guidelines and insurance rank requirement to properly assign primary, secondary, and tertiary insurance per encounter

6. Ensures patient receives necessary disclosure and privacy information, as well as obtains necessary legal and financial signatures

7. Communicates financial obligations to patients and collects fees at time of service as appropriate

8. Communicates the purpose of and completes all necessary regulatory forms with patient

9. Processes multi-channel messages related to patient and/or physician requests regarding: appointments, referrals, prescriptions, and complaints

10. Assists with referrals and pre-certifications, at the time of encounter

11. Performs cash posting following department guidelines

12. Notifies patient or guarantor of anticipated financial responsibility including copays, deductibles, or coinsurances, and collects accordingly

13. Abides by organizational and HIPAA guidelines, privacy practices, patient confidentiality, and patient rights

14. Performs general office duties such as maintaining lobby appearance, stocking business cards, discarding old magazines, ordering supplies as needed, wiping down lobby surfaces and chairs.

15. Verifies insurance information upon arrival of the patient. Explains to patients any past due balances, goes over all cost estimates, and collects any outstand balances in adherence to company policy.

16. fulfills organizational responsibilities as assigned including:

• respects and promote patient rights
• responds appropriately to emergencies
• shares problems relating to patients and/or staff with immediate supervisor
• works as a productive member of the team helping co-workers as needed and/or assigned

17. Assists walk in patients with appointment scheduling

18. Performs other duties as assigned.

Qualifications

Education: High school diploma or equivalent.

Experience: Minimum two years of recent administrative medical experience or any equivalent combination of experience, training and/or education approved by the Patient Access Manager and/or Human Resources.

Other Requirements: None

Performance Requirements:

Knowledge:

1. Knowledge of medical practices and terminology.

2. Knowledge of health care field and medical office protocols/procedures.

3. Knowledge of HIPAA Privacy and Security rules.

Skills:

1. Skill in establishing and maintaining effective internal and external working relationships.

2. Skill in verbal and written communication with patients, physicians and staff.

3. Skill in accuracy and detail with respect to demographic data and medical information.

4. Skill intact and diplomacy in interpersonal interactions.

Abilities:

1. Ability to work in a team based environment that places patient satisfaction as the primary focus for measuring success.

2. Ability to work under pressure in a fast paced environment.

3. Ability to project a pleasant and professional image.

4. Ability to read, interpret and apply policies and procedures.

5. Ability to multitask and handle various priorities in a flexible, rapidly changing environment.

6. Ability to effectively articulate information and respond to questions.

7. Ability to relate to and work well with a diverse community population.

8. Ability to work cooperatively with other departments.

9. Ability to plan, prioritize, and complete delegated tasks in an appropriate timeframe.

10. Ability to demonstrate compassion and caring in dealing with others.

11. Ability to set priorities among multiple requests.

12. Ability to interact with patients, medical and administrative staff, and the public effectively.

13. Ability to work with Computer Systems.

Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.

Work Environment: Position is in a well-lighted office environment. Occasional evening and weekend work.

Mental/Physical Requirements: Involves sitting approximately 80 percent of the day, walking or standing the remainder with light lifting (10-30 lbs.) occasionally required.