Patient Access Representative; PRN, Rotating Weekend

Position

Patient Access Representative, PRN

Non-Exempt

Rotating Weekend Days (only), 7am - 3:30pm

The Patient Access Representative I is responsible for performing all admitting procedures for patients presenting to the Emergency Room.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

• Interviews incoming patient or representative and enters information required for admission into health information system.
• Obtains required signatures from patient and/or representative for consent of care and any other required documents per hospital policy and protocols. Documents how consent was obtained or not obtained from responsible parties.
• Enters, records, stores, and maintains information in written and electronic form.
• Interviews patient or representative to obtain and record individual and/or company insurance responsible for payment of bill.
• Explains hospital regulations, such as visiting hours and payment of accounts.
• Provide a smooth flow of patients through the admitting area/ER, directing or escorting patients as necessary to the appropriate department.
• Understand the functional status and physical needs of patients, staff, and visitors to the hospital and assists in those needs.
• Maintain a working knowledge of community services and resources available to all patients. Refer patients as necessary to the appropriate agency or department.
• Records all emergency room patients seen on the electronic ER log related to each account.
• Accepts payments and issues receipts, collects co-payments and deductibles, and reconciles petty cash drawer at the end of each shift.
• Processes telephone communications in an efficient and courteous manner for patients, physician, general public, and hospital staff.
• Pages for medical staff, disaster and emergency codes as required by policy. Pages should be done in a clear, distinct, and audible voice.
• Run a daily registration quality report before the end of each shift to check the accuracy of registrations and make corrections as necessary.
• Controls visitor access to hospital after hours, clears any after hours visitors with Charge Nurse, and issues visitor pass as appropriate.
• Fosters high levels of customer service and releases only appropriate patient information while ensuring HIPAA compliance is followed. Refers all other medical information releases to HIM for processing.
• Ensures all patient information is safeguarded and kept confidential according to prescribed policies and procedures.
• Analyze information and evaluate results to choose the best solutions available and solve problems as they arise.
• Develop constructive and cooperative working relationships with others; ensure flow of communication within department.
• Interviews, corresponds with, and counsels the patient and/ or patient’s family regarding information relative to insurance, employment, and financial ability to pay.
• Verifies insurance benefits prior to admission for all planned admissions and as soon as reasonably possible after admission for all emergencies.
• Coordinates pre‑certification process between hospital and physician offices to ensure that all required procedure and surgery pre‑certifications are completed in a timely manner.
• Initiates pre‑certification process for Emergency Medicaid patients who require CT/MRI procedures.
• Will cross‑train other admissions personnel for cross coverage as necessary.

• Financial Management.
• Ethical Conduct
• Leadership
• Technical Capacity
• Customer/Patient Focus
• Teamwork Orientation

This position has no supervisory responsibilities.

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, copiers,…