Patient Access Representative

Patient Access Representative

Requirements

• High school diploma or GED.
• One year of customer service work experience OR higher education and training.
• Proficiency in data entry.
• Knowledge of medical terminology.
• Excellent customer service skills.

Responsibilities

• Register, schedule and pre-register patients for inpatient, emergency and outpatient tests and procedures.
• Educate patients regarding their benefit levels, review eligibility, prepare estimates, advise patients of out-of-pocket expenses, collect payments, apply payments and maintain security of payments.
• Complete accurate face-to-face and phone interviews to obtain demographic, insurance, medical and financial information.
• Schedule services and provide the physician’s office and/or patient with accurate date and time information, room availability, physician availability, typical time needed to complete the procedure and/or procedures that conflict with each other.
• Complete questionnaires to assist departments with preparing for patients.
• Utilize the screening tool for self-pay patients to determine any possible payer source.
• Refer patients to financial counselors.
• Advise patients of and generate Advanced Beneficiary Notice (ABN) and/or Assumption of Financial Responsibility (AFR).
• Obtain, scan and index physician orders.
• Cross train to staff all patient access areas.

Preferred Qualifications

• One year of hospital, clerical or billing work experience.