Patient Access Representative

Patient Access Representative

Requirements

• High School Diploma/ GED or Equivalent Or 2 years of applicable experience in lieu of education
• 2 years of experience in customer service/ healthcare.

Responsibilities

• Greet patients, guests and family members both on phone or in person, and schedule patients for services with appropriate provider, location and time.
• Analyze current patient information to determine or create an account for all patients who present for services, including walk-in, non-scheduled, and emergency services or activate scheduled accounts that have already been set up.
• Register patients by entering accurate demographic, financial class, insurance information and revise errors.
• Initiate bed placement, reservation, transfer, and/or discharge based on requests from clinical providers, case management, etc.
• Assist patients with understanding their financial obligations, setting up payment arrangements, completing financial assistance applications, coordinating care with the providers, securing grants/resources with external sources (Drug Therapy Reimbursement) and when necessary, makes appropriate referrals to Parish Medicaid, Medicaid, or Emergency Medicaid.
• Complete registration and admissions process and ensure all required forms are completed and other paperwork / documents are gathered and accurate
• Request and document patient demographic, insurance, guarantor, MSP, and PCP/Referring Physician information, validate against current system, and ensure patient/guarantor sign all applicable documentation, such as consents and financial assistance loan application.
• Scan ID, insurance cards, orders, authorization information, etc. to patient’s account once the information is validated for accuracy.
• Perform insurance verification by running automated eligibility response at point-of-service to ensure active coverage and completing notification of admission with insurance company within established timeframe.
• Contact case management and/or provider to assist with appropriate department placement for clinical services.
• Inform patient/guarantor of liability due, including prior balances and estimates for scheduled service, and collect payment if possible or refer to financial counseling as needed. Maximize point-of-service collection, meeting established registration collection goals.
• Provide directions to applicable areas of interest, such as the department where service will be provided, financial counselor, cafeteria, waiting rooms, restrooms, and parking area.
• Schedule and reschedule appointments for patients as needed, identifying open time slots and educating patient/guardian about available options for services.

Preferred Qualifications

No preferred qualifications provided.