Patient Access Representative; Summer Temp

Purpose of Position

To obtain accurate and complete patient information and payer verification in a customer‑focused manner, to assure expedient care and accurate billing.

• Interview patient and/or patient representative to obtain required information necessary to complete the registration process in the hospital information system and maintain the accuracy, confidentiality and integrity of the automated database.
• Coordinate and communicate accurate and updated registration/admission/pre‑admission activities with Medical Records, Care/Case Management, Utilization Management, Physicians' offices, Patient accounts, and any other hospital departments, as may be required, to support the appropriate, accurate, safe and effective patient care.
• Initiate and maintain organized files and records, related to orders, payer authorizations, booking slips, schedules, and others per department procedure.
• Contact patients, employers, insurers and patient representatives to obtain insurance and other information necessary to secure hospital reimbursement, verify benefits and pre‑certify all insurance plans to ensure maximum reimbursement to the hospital.
• Verify benefits, utilizing insurance verification systems. Obtain referrals and authorizations required and document complete information, along with approved bed status, if applicable, in the computer system. Obtain pre‑certifications in a manner to ensure maximum allowable reimbursement to the hospital.
• Maintain a thorough knowledge of departmental policies and procedures to ensure maximum reimbursement to the hospital.
• Attend departmental and other meetings as requested by the immediate supervisor.
• Ensure timely placement of patients in the most effective and appropriate manner. Process admissions, discharges and transfers of all hospital patients, per department procedures.
• Explain and process payments from patients, which may include but not limited to co‑pays, co‑insurance, and deductibles.
• Follow department procedures related to securing payment information and providing patient receipts.
• Provide information to patient and/or representative on:
  Health Care Proxy, Advanced Beneficiary Notice, Important Medicare Message (IMM) forms, financial issues and refer to Financial Counselor if appropriate. Obtain completed forms as available.
• Consistently provide service excellence to all patients, family members, visitors, volunteers, and co‑workers.
• Perform other work related duties and activities as assigned or requested by manager/supervisor.

• Ability to read, write and communicate in English at the level of a high school graduate.
• Ability to type at the rate of 25 WPM as demonstrated by a timed test.
• Computer skills to perform the job functions in a satisfactory, accurate and productive manner.
• Successful passage of a Medical Terminology course or successful passage of Medical Terminology challenge exam.
• Ability to work independently and under pressure.

SUMMER TEMP, 32 Hours Per Week, Rotating Days, 10a‑6p and 11a‑7p, Rotating Weekends & Occasional Holidays

Cape Cod Hospital

Massachusetts‑Hyannis

CCH‑Patient Access

Hourly

18.3 - 32.71