Patient Access Representative -PRN (as needed)

• Greet and interview patients and/or family to obtain accurate and complete registration information.
• Accurately and efficiently enter all necessary data into EPH Systems.
• Obtains photo identification and insurance cards from patients to ensure identity of patient.
• Communicates with the referring or receiving provider of service so patient can access appropriate care.
• Verifies eligibility of insurance, and benefit information and communicates this information with the patient.
• Collects copayment at time of service and payment options when significant patient liability is identified. Refers patient to Financial Counselor when need is identified for assistance.
• Compliant for requirements related to registering and gathering information for Medicare patients, which includes Medical Necessity, ABN (Advance Beneficiary Notice) and MSPQ (Medicare Secondary Payer Questionnaire).
• Assists with coverage across all registration areas within PFS to effectively handle all functions of the registration process. Must be able to work in two of four registration areas (Outpatient, Clinics, ED, and Urgent Care).
• Assist PFS Billing with special projects as needed.
• Maintain strict confidentiality in accordance with HIPAA guidelines and EPH’s policies and procedures, both at work and in off-hours.
• Courteously answers telephone calls and promptly returns voice mail messages, route calls and take accurate messages as appropriate.
• Participates in staff meetings, team building exercises and educational competencies to ensure Representative is up to date on latest requirements.
• All other duties as assigned.
• Perform in accordance with all local, state and federal laws and regulatory agency standards.
• Perform in accordance with EPH vision, mission and goals.

• Upon patient arrival, assess patient condition to determine if registration can be performed at the desk area or if patient needs to be taken directly to a room.
• Checks all emergency medical records for completeness before processing; processes orders accurately, efficiently and completely.
• Responsible for Home Health processes during evening, overnight, and weekends.
• Activates trauma team as per protocol.
• Responsible for registering patients for outpatient services after regular business hours.
• If Representative is licensed/certified EMT, will assist medical team in administering Emergency treatment as needed, per guidelines of the Director of the Emergency Department.

• Reviews daily schedule for outpatient services to manage all areas of outpatient services.
• Receives estimates for scheduled procedures from Pre-Access Specialist, or creates an estimate when needed and reviews with patient.
• Maintain standing orders for patients receiving recurring labs. On monthly basis, checks current orders for those set to expire and requests from referring physician via fax or phone call.

• Provides support to physicians and physician support staff, assisting patients in accessing appropriate care. This includes scheduling appointments and assisting with follow up when patients check out.
• Answers multi-line phone system for Physician’s Clinic, assisting with patient questions and routing their need appropriately.
• Complete Daily Provider Schedule (Rounding sheet) and forward to designated areas

• General office practices and procedures.
• Routine software and business applications including, but not limited to, word processing, spreadsheets, presentation software, and databases.
• Communicate clearly and concisely, both verbally and in writing.
• Read and comprehend department and Company rules, regulations, policies, and standard operating procedures.
• Establish and maintain effective working relationships with other employees, representatives of other agencies and organizations, and members of the community.
• Regular, predictable attendance.
• Operation of standard office equipment including fax machines, copiers, and computers.
• English language, proper grammar, punctuation, and spelling in other oral and written communication
• Perform duties independently without close supervision.
• Provide professional customer service to clients and public.
• Maintain sensitive and confidential information.
• Follow written and verbal instructions.
• Organize material and present information clearly and concisely in verbal and written form.
• Current business letter writing techniques and methods.

• High school diploma or equivalent.
• Customer Service skills for communication on the phone and in person.
• Have the ability to communicate effectively and diplomatically within a multi-functional team.
• Bi-lingual skills are a plus.

Estes Park Health