Patient Access Representative II

JOB SUMMARY

The Patient Access Services Representative II is responsible for independently managing patient registration, insurance verification, and customer service functions. The representative at this level is expected to have a thorough understanding of patient access workflows and manage more complex situations. In addition to performing all outpatient and inpatient registration functions including hospital cashiering and insurance verification. Ensures that patients meet financial requirements.

Provides general information to hospital users, patients, and families.

Communicates effectively to service delivery areas to maximize patient flow and customer service. Provides excellent patient focused customer service.

• • Performs all job responsibilities in alignment with the mission and vision of the organization.
• • Performs other duties as required and completes all job functions as per departmental policies and procedures.
• • Maintains current knowledge in present areas of responsibility (i.e., self-education, attends ongoing educational programs).
• • Attend staff meetings and complete mandatory in-services and requirements and competency evaluations on time.
• • Wear protective clothing and equipment as appropriate.

• • Ability to communicate in English, both verbally and in writing.
• • Additional languages preferred.
• • Strong written and verbal skills.
• • Basic Computer Skills

• • General environment:
  Works in a well-lighted, air-conditioned area, with moderate noise levels.
• • May be exposed to high noise levels and bright lights.
• • May be exposed to limited hazardous substances or body fluids, or infectious organisms.
• • May be required to change from one task to another or different nature without loss of efficiency or composure.
• • Periods of high stress and fluctuating workloads may occur.
• • May be scheduled as needed including overtime.

• • Have near normal hearing:
  Hear alarms/telephone/normal speaking voice.
• • Have near normal vision:
  Clarity of vision (both near and far), ability to distinguish colors.
• • Have good manual dexterity.
• • Have good eye-hand foot coordination.
• • Ability to perform repetitive tasks/motion.
• • Continuously within shift (67-100%):
  Standing, Walking.
• • Frequently within shift (34-66%):
  Bending/Stooping, Pushing/Pulling, Lift/carry up to 20lbs, Lift/carry greater than 20 lbs. with assistance.
• • Occasionally within shift (1-33%):
  Sitting, Climbing, Twist at waist, Lift/Carry greater than 50 lbs. with assistance, Reaching above shoulder.

QUALITY HEALTHCARE:
In our continuing effort to enhance the quality of life for the communities we serve, the Hospital Authority of Miller County is committed to the delivery of superior, safe, cost-effective healthcare through the provisions of education prevention, diagnosis, and treatment.

• • Responsible for obtaining necessary demographic and financial data through patient interviews, the centralized scheduling system and system queries to complete the pre-registration process.
• • Assures all check-in procedures are completed, and monitors patient wait times, communicating changes to the patient, as necessary. Reads and interprets insurance responses.
• • Communicates financial obligations to patients and collects fees at time of service as appropriate.
• • Accurately performs medical record maintenance and releases.
• • Performs cash posting following department guidelines.
• • Abides by organizational and HIPAA guidelines, privacy practices, patient confidentiality and patient rights.
• • Must maintain high regard for confidentiality.
• • Notifies patient or guarantor of anticipated financial responsibility including copays, deductibles, or coinsurances and collects accordingly. Performs cash posting following department guidelines.
• • Communicates the purpose of and completes all necessary regulatory forms with patient.
• • Completes patient's visit by scheduling any necessary follow-up appointments to include any specialty or ancillary services as possible.
• • Documents financial arrangements.
• • Assist with departmental workflow as needed.
• • Communicates with…