Patient Access Representative

Patient Access Services Representative Patient Access Specialist I

The Patient Access Services Representative Patient Access Specialist I is an entry-level position focused on learning and mastering the fundamental aspects of patient registration and customer service. The specialist will work under close supervision while gaining confidence and accuracy in registration processes. Performs 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.

Education, credentials and experience requirements:

• High school graduate or equivalent
• Previous medical office experience preferred.
• Previous experience with health insurance and patient billing required.
• Completion of medical terminology course required.
• Complete a 30-day and 60 Day Competency Check List to become Certified as an Advanced beginner.

General requirements:

• 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.

General skills:

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

Working conditions:

• 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.

Physical requirements and demands:

• 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.

Mission statement:

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.

Job specific competencies:

• 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 patience.
• 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 Physician Offices, Staff, and other departments.
• Familiar with Advance Beneficiary Notice, Medicare Secondary Questionnaire, Medicare Outpatient Observation Notice, Important Message from Medicare, precertification, ICD-10 coding, Medical Terminology.
• Identifies patients who require early financial counseling intervention.
• Maintains knowledge of departmental applications i.e., CERNER, Relias, Heartland, Hometown Health, GAMMIS, Availity, my ABILITY, and other systems utilized by Patient Access…