Patient Access Acute Representative I

Patient Access Acute Representative I

Requirements

• High School Diploma or equivalent, preferred
• Strong organizational skills and attention to detail, required
• At least one (1) year of experience in the hospitality or service industry, preferred

Responsibilities

• Register patients in multiple service lines
• Confirm, enter, and/or update all required demographic data on patient and guarantor on registration system
• Avoid overlays and duplicate patient medical records
• Follow procedures when identifying a patient and applying the patient identification bracelet
• Register patients during downtime following downtime procedures and enter data into registration system immediately upon system availability
• Obtain and explain copies of insurance card(s), forms of ID, and signature(s) on all required forms
• Verify information on appropriate accounts to determine insurance coordination of benefits, pre-certification/prior-authorization if not verified by PASC
• Complete the Medicare Secondary Payer (MSP) questionnaire when applicable
• Verify insurance to determine coordination of benefits and obtain authorization and/or referrals as required
• Screen for and process non-covered services and waiver of liability (ABN) through automated screening at time of service
• Inform self-pay patients of liability due, prepayment requirements and coordinate screening of alternate funding sources if applicable
• Prepare estimate of procedures, calculate advance payment requirements on previous or bad debt and current balances
• Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s)
• Coordinate with clinical areas and other ancillary departments to obtain accurate orders in order to establish patient financial expectations
• Collect patient payments and provide accurate receipt
• Post all payments in system
• Reconcile receipts with cash collected and completes required balancing forms
• Document patient account notes for all interactions/transactions
• Maintain departmental and/or individual work queues and reports as required
• Explain/answer patient billing inquiries and interpret statement data to resolve accounts
• Escalate account issues which cannot be resolved
• Update the emergency department room tracking system

Preferred Qualifications

• High School Diploma or equivalent, preferred
• At least one (1) year of experience in the hospitality or service industry, preferred