Pa Assoc Ii

Overview

The Patient Access Associate plays a vital role in ensuring a seamless patient experience by managing registration, insurance compliance, and providing exceptional customer service. This position requires the ability to work independently in a fast-paced environment while maintaining a mature, compassionate, and professional demeanor while demonstrating flexibility with assignments within professional scope/duties/licensure. The ideal candidate will be customer-focused, ensuring that patient needs are met and that they understand the hospital's revenue cycle expectations, including various payment options.

• Accurately collect, analyze, and record demographic, insurance/financial, and clinical data from multiple sources.
• Obtain necessary information and signatures for registration and billing.
• Screen for compliance with payer requirements for medical necessity and pre-certification.
• Complete third-party eligibility and benefit verification to ensure accurate payment.

• Greet patients using appropriate scripting in a friendly, inviting manner, adhering to AIDET format and standards.
• Interact with patients and their representatives courteously and respectfully, both in person and over the phone.
• Direct or escort patients to appropriate locations within the hospital.
• Monitor waiting room areas, keeping patients and visitors informed about processes and wait times.
• Provide estimates to patients per policy and guide them on financial assistance when necessary.

• Assist with training new employees and provide coverage for call-offs to ensure proper departmental staffing.
• Monitor and stock department supplies, ensuring the cleanliness and orderliness of the work area.
• Handle incoming calls via the switchboard, ensuring compassionate and customer-focused communication.
• Accurately record and electronically update patient information on a timely basis.

• Follow EMTALA, HIPAA, payer, and other applicable regulations and registration standards.
• Recognize and explain out-of-network insurance requirements and secure necessary signatures.
• Understand and apply Riverside Financial Policies, directing patients to financial counselors as needed.

• Attend all mandatory department meetings and applicable training sessions.
• Assist in transporting patients within the hospital.
• Accurately collect and scan required documents, including labels and .
• Operate the switchboard and handle incoming calls, ensuring timely response and accurate notification.

• Experience in EKG tracings and medical terminology preferred.
• Computer literacy required.
• Prior experience in office or clerical roles preferred.
• Knowledge of payer regulatory compliance and HIPAA Privacy and Security preferred.
• Strong verbal and written communication skills in English.
• Bilingual preferred.
• Ability to perform general arithmetic.
• Detail-oriented with a commitment to accuracy and problem-solving.
• Ability to work independently and as part of a team in a fast-paced environment.

• High school diploma or equivalent required.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

Riverside Healthcare offers a comprehensive suite of Total Rewards: benefits and nationally rated employee well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more so your journey at and away from work is remarkable. Our Total Rewards package includes:

• Base compensation within the positions pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift differential, on-call
• Opportunity for annual increases based on performance

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Health Savings and Flexible Spending Accounts for eligible health care and dependent care expenses
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

• Paid Leave Hours accrued as you work

Exposure/Sensory Requirements

• Chemicals:
  Germicidal cleaners, toner for copier machines/printers. Preservatives for 24 hour urine/stool collection, x-ray developer and fixer solutions
• Video Display Terminals:
  Average
• Blood and Body Fluids:
  Responsible for phlebotomy-the risk from exposure to blood and body fluids through obtaining specimens and patient contact. Risk is minimized through the use of universal precautions.
• TB or Airborne Pathogens:
  Potential exposure of airborne…