Patient Access Senior Associate – Emergency Department

Patient Access Senior Associate – Emergency Department

Requirements

• HS Diploma, Associates Preferred
• CHAA (or acquired within 2 years of hire)
• Strong computer skills
• 3 – 5 years experience
• Strong insurance knowledge regarding payer contract interpretation including Authorization Requirements and Setting of Care
• Proven customer service skill with ability to exceed expectations
• Ability to multitask in stressful and high patient volume unit; must be able to manage pressure of very tight timeframes to execute task
• Ability to learn in classroom setting; utilizing resources
• Ability to remain composed under pressure
• Ability to review information and draw appropriate conclusion
• Good judgement and ability to be resourceful to problem solve; escalate issues as needed
• Team minded work ethic
• Demonstrated ability interpret patient’s insurance benefits and apply the applicable contractual obligations
• Critical thinking ability regarding issues with financially securing payment
• Ability to discuss sensitive concepts with patients regarding financial obligations

Responsibilities

• Responsible for creating encounters in ADT representing service patient is receiving
• Responsible to discern demographic and insurance information to ensure an accurate registration
• Responsible to interpret information received from Insurance Payer regarding patient’s eligibility and financial responsibility
• Responsible to discuss financial obligation of patient and collect via cash, credit card or check
• Responsible to explain regulatory forms and answer questions from patient; obtain signatures accordingly
• Responsible for scanning or managing online form template to maintain the Electronic Health Record
• Comprehend Federal, State, Third Party Payer regulations as it pertains to a hospital registration
• Ability to work in multiple systems during a telephone call or patient facing interaction to complete an accurate registration and support clinical workflow
• Responsible for review of services being rendered to ensure the appropriate setting of care has been assigned by the physician’s office; if not, physician staff will be advised of the contractual or regulatory expectation warranting a change of setting of care. For example: Inpatient to Outpatient or Inpatient Only requirement
• Ability to respond to requests for estimates for service being rendered or expected to be rendered
• Contact patient if issues or data missing impeding ability to financially secure encounter
• Responsible for securing encounters with extremely tight timeframes due to late booking of service

Preferred Qualifications

• Hospital or Physician office experience preferred