Patient Access Representative (Non-Exempt) - PT, Varies/Rotating
- Cape Girardeau, MO
- Permanent
- Full-time
- Provides outstanding customer service to all internal and external customers including our patients, visitors, co-workers, physicians, and insurance companies.
- Keeps all wait times to a minimum.- Communication -- Works effectively with other co-workers, clinical departments and clinics to accomplish work and departmental projects.
- Demonstrates positive and professional communication skills.
- Exhibits objectivity and openness to others views, contributes to building a positive team spirit.- Confidentiality -- Respects at all times the confidentiality of patient records and uses complete discretion when discussing patient matters.
- Ensures all patient information is secured and all paperwork is disposed of in appropriate confidential trash receptacles.- Stewardship -- Ensures all out of pocket financial responsibility is documented on all encounters and communicated as appropriate.
- All out of pocket financial responsibility is requested prior to and/or at the time of service.
- Refers patients for financial assistance or to the Medicaid Eligibility team when appropriate.
- Accurately posts patient payments and balances cash drawer as per departmental policy.- Change Management -- Demonstrates an open attitude toward change and participates in the change process.
- Handles variance in job duties, making necessary adaptations.
- Follows instructions, responds to management direction.- Quality -- Ensures the highest level of accuracy and thoroughness of registration information including demographics and insurance information.
- Accurately identifies patient record using a minimum of two patient identifiers (name, DOB, SSN).
- Ensures that appointments are scheduled accurately and all required directions are communicated to the patient.
- Referrals are accurately completed including all required smart phrases.
- Follows all policies and procedures pertaining to insurance verification, eligibility, appropriate pre-certification requirements.- Compliance -- Obtains all required data to meet various Health System standards and regulatory requirements (e.g. Joint Commission, Medicare Compliance, EMTALA, HIPAA, etc.)
- Obtains legal signatures on appropriate insurance, consent, and financial forms.
- Obtains all required clinical information including paper requisitions as needed.- Proficiency and Initiative -- Demonstrates knowledge of the necessary computer applications.
- Knowledgeable of computer down time procedures, notifying all parties involved, and utilizing manual processes as appropriate.
- Participates in professional continuing education opportunities.
- Volunteers readily, actively seeks new knowledge and skills for personal and job development.
- Takes responsibility for own actions and commits to doing the best job possible.
- Meets established patient processing goals and revenue cycle goals.Qualifications:Experience and Education Requirements:
1-3 years clerical experience and customer service experience preferred. Experience with medical terminology and insurance plans preferred. High School diploma required; some college helpful.Minimum skills, knowledge and ability requirements:
- Ability to communicate effectively both orally and in writing, excellent telephone etiquette required.
- Ability to establish and maintain positive working relationships with patients, physicians, clinical and non-clinical hospital staff and insurance companies.
- Strong organizational skills; attention to detail.
- Ability to work under stress, meet deadlines and perform all daily assignments with a high level of accuracy.
- Knowledgeable and experienced with various computers systems; Ability to use a 10-key calculator and computer keyboard.Physical Requirements:
- Position requires the ability to push, pull, and/or lift 50 lbs on a regular basis.
- Position requires prolonged standing and walking during each shift.
- Position requires the ability to grip, reach, bend, kneel, twist, and squat to perform duties.