Patient Access Representative-Part Time-Weekends-Main Admitting

Position Title:

Patient Access Representative

Position Code:
Pt Access Rp -____

Department:
Patient Access

Safety Sensitive:
Yes No

Reports to:

Department Manager/Director Exempt Status:
Yes No

All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country.

.

At the direction of management, completes the registration process for patients. This includes verification of benefits, discharge of patients, collection of copays or payments, balancing of accounts, and general data entry.

• Provides excellent customer service, contributes to the overall satisfaction of the patient experience, and adheres to the Behavioral Expectations Agreement.
• Promptly fields and/or directs incoming calls; responds to patient and/or staff inquiries.
• Refers patient accounts to financial counselors when further explanation/education is needed (denied authorizations, out-of-pocket liabilities, coverage options, payment plans, etc.).
• Consistently demonstrates a willingness to assist co-workers to support department efficiency and to support positive customer feedback goals.
• Participates in on-going process improvement activities for the team.
• Floats to other work areas, as requested, and regularly works nights, weekends, holidays, and extended hours when needed; available for rotating on-call schedule as assigned to obtain or provide coverage for all shifts during designated on-call period.

• Demonstrates ability to preregister, register, schedule, reschedule, and discharge patients according to the defined guidelines.
• Enters new patient data and/or verifies patient records are up to date, confirms the completeness of the electronic health record (EHR) and makes changes as necessary.
• Verifies insurance eligibility and benefits within a timeframe determined by KHI.
• Obtains pre-authorizations from third-party payers in accordance with payer requirements, when needed.
• Ensures identified information are complete and scanned into patients’ electronic health record (EHR) (insurance cards, photo ’s, physician orders, and other admission documents.
• Obtains signatures on all required forms.
• Demonstrates ability to manage co-payments, deductibles, allowances, etc. as instructed.

• Accurately balances daily cash to include completion of daily cash log, bank deposit slip, and daily reports to Patient Financial Services.
• Accurately utilizes insurance eligibility/audit tools and report/correct variances within the EMR.
• Quality performance scores must meet defined goals.
• Verifies insurance eligibility and benefits within a timeframe determined by KHI and obtains pre-authorizations from third-party payers in accordance with payer requirements.
• Collects upfront co-pays, deductible and coins securing deposits on self-pay and high accounts.
• Regularly works nights, weekends, holidays, and extended hours when needed.

• Performs other duties as assigned to support overall effectiveness of department and organization.

• Meets all PAR requirements.
• Provides day to day leadership and supervision of PAR team members, trains and orients new hire PAR’s, and works with Supervisors to provide continuous training of existing staff.
• Performs QA audits of registrations, works account checks, and responds to account denials.
• Assists with the scheduling of staff to ensure appropriate coverage.
• Participates in the interviews for hiring new staff within the unit, as well as providing feedback to the PAR supervisors for performance evaluations.
• Identifies, supports, and manages process improvement initiatives for the…