Patient Access Representative (Full Time

Position: Patient Access Representative (Full Time)
## Patient Access Representative (Full Time)### Category:

Administrative/Clerical###

Description:

The Patient Access Representative interviews patients to obtain necessary information, prepare admitting/registration forms, gather insurance information and perform other clerical/computer operational tasks related to the admitting of inpatients and outpatients coming into the facility at 90% accuracy. If a patient presents for an outpatient service that is typically a scheduled service, routes the patient to the Scheduling Representative.###

Minimum qualifications:

* High school diploma or GED equivalent, preferred.
* One year computer training and/or experience.
* Medical insurance and/or hospital registration experience preferred.###

Primary Responsibilities:

* Is responsible for accurate registration of all patients' while maintaining regulatory and functional knowledge of all information required to register patient types in database which ensures timely & accurate reporting/billing.
* Gathers related information from various sources to produce completed chart and prepare patient for any service requested by physician.
* Is responsible for distribution of patient related materials and maintaining patient or designee's signature on all necessary consents, permits, financial forms, advanced beneficiary notices, Important Message from Medicare, as well as charity application, when applicable.
* Inputs patient information into computer to produce medical record patients' labels, bracelets, face sheets and important message from Medicare as appropriate. Scans at time of registration all insurance cards, state , and other signed registration forms such as Notice of Privacy, Permissions and Acknowledgments, consent for treatment, etc., as required.
* Is responsible for collection of patients owed copay's as well as referring patient to financial assistance department, when applicable. End of day cash out procedure applies.
* Is responsible for utilizing insurance verification tools to accurately verify patients' insurance for patient walk-in services.
* Ensures the patient record is updated with accurate information, and the insurance record reflects all appropriate insurance(s), appropriately prioritized in coordination with the information provided by the Verification/Authorization Representatives. (coordination of benefits)
* Is responsible for notifying the servicing department and the Verification/Authorization Representative when a patient checks in for a scheduled service with insurance information that is different from what was verified previously.
* Is responsible for notifying insurance companies that a member has been admitted to the Emergency Room, as an inpatient or an outpatient as appropriate by their insurance plan.
* Has an understanding and working knowledge of medical insurance benefits, Medicaid and Medicare regulatory requirements.
* Ensures all self-pay accounts are checked for Medicaid eligibility, and all Medicare primary patient accounts are checked for Medicaid eligibility when there is no secondary coverage for walk-in services.
* Coordinates with Nursing Services/Designee the efficient use of available beds, including inpatient, observation and skilled, while adhering to appropriate registration standard and notifies Verification/Authorization Representative II of the admission.
* Functions as a switchboard operator during shift. Responsibilities shall include but not be limited to, answer and route all incoming/inside telephone calls and direct public to appropriate area, and coordinate "codes", as applicable.
* Has strong attention to detail and demonstrates ability to use sound judgment in decision making.
* Understands and demonstrates the importance of satisfying the needs of the patient/customer by interacting with him/her in a friendly and caring way. Being attentive to the customer's needs, both psychologically and physically, by taking the initiative to maintain communication with the customer, assign payment accurately and ensure appropriate insurance notifications are done in order to provide a secure and pleasant experience throughout the patients' visit.
* Assists in the…