Patient Access Representative

Full Time , Varied Shifts , 530a-2p, 830-5p, or 1p-930p

The Patient Access Rep creates accurate and thorough registration for admissions, pretest, and outpatient registrations. Secures appropriate signatures, financial information, point of service collections, and documents for treatment and billing purposes. The Patient Access Rep interacts in a customer focused and compassionate manner to ensure patients and their representatives’ needs are met, and that they understand the hospital’s policies as they relate to professional, efficient, and quality customer services.

Admitting and Outpatient Registration areas are located off the Main lobby, often dealing with patients/ clinical staff face to face or over the phone, entering and verifying patient demographic information- patient’s name, DOB, address, phone number, race, ethnicity, language, marital status, religion, church, diagnosis, physician, guarantor billing, insurance, collections and emergency contacts.

• High School Diploma or equivalent
• Previous clerical or customer service experience preferred (class work may be substituted for previous work experience).

• Prefer minimally one-year experience in a hospital, medical office/clinic, or insurance company.
• Prefer medical terminology certification.

• Ability to perform a variety of tasks, often changing assignments on short notice.
• Must be adept to multi-taking and prioritization.
• Will be required to learn and work with multiple software/ hardware products during an average workday.
• Must possess excellent verbal and listening communication skills.
• Must be able to maintain a professional demeanor in stressful situations.
• Must be adept with equipment typically found in a business office environment- fax, copier, printer, scanner.
• Ability to build productive relationships with all contacts.
• Typing skills of 35 words per minute minimum.
• Must have good computer skills with the ability to work out of multiple systems in tandem, on dual monitors.

• Ensure patient tracking systems are updated with patient activity.
• Answers phones and routes call as necessary.
• Monitors and maintains multiple work queues as instructed and assigned.
• Demonstrates compliance with all policies related to the organization’s Corporate Compliance Program as evidenced by attendance at applicable educational programs; consistently carrying out job responsibilities ethically and professionally; exhibiting ethical and professional workplace behavior and decision making and reporting any infractions using the appropriate chain of command and without fear of retribution.
• Completes annual learning requirements, reviewing fire safety and electrical safety policies, applicable code reviews, disaster plans reviews, policies on handling hazardous and toxic substances and risk management issues.
• Demonstrates an interest in patient safety education and participates proactively in indetifying problems and incidents in the department and throughout the hospital which place any patient, visitor, or staff member at risk or injury.
• Attends educational seminars, meetings and updates as needed.
• Modifies work schedule to meet department goals and deadlines.
• Follows EMTALA, HIPAA, payer, and other regulations and standards.
• Maintain work area in neat and orderly fashion.
• Observes hospital and department guidelines concerning dress and display of name badge, presenting an appearance appropriate to work environment.
• Adheres to department customer service standards.
• Avoids excessive absenteeism and tardiness so that it does not warrant repeated disciplinary action and disrupt department productivity.
• Adheres to established schedule for break and meal periods.
• Willingness to assist department needs with staffing and tasks.
• General
  • Accurately and thoroughly collects, analyzes, and records demographic, insurance, financial and clinical data in computer systems.
  • Updates and edits information in computer systems, ensuring that all fields are populated correctly and appropriately.
  • Obtains information and completes a Medicare Secondary Payer Questionnaire and other payer specific documents.
  • Revie…