Rehab Patient Access Representative

Shift: 40 HOURS, Day Shift

The Patient Access Representative is responsible for performing various duties involved in admitting in-patients, out-patients, emergency patients, and clinic patients. This includes cashiering and pre-certification verification, acting as a custodian of patient valuables and safekeeping, maintaining petty cash fund, assisting in the resolution of admission, billing, or other problems related to the collection of an account balance, as well as maintaining Patient Access Services Department records and statistics.

This position reports to the Patient Access Services Supervisor and operates within established organizational and departmental policies and procedures.

• High school diploma or equivalent required
• One (1) to three (3) years administrative and in-person customer service experience required, preferably in a health care setting; patient access services experience preferred.
• Familiarity with and understanding of hospital admissions, patient account systems, and major health insurers and general coverage issues preferred
• Previous cashiering experience preferred
• Demonstrated typing proficiency, personal computer, and CRT experience required;
  Enterprise Scheduling System experience preferred
• Demonstrated interpersonal, oral and written communication skills required

• Interview incoming patients, or their representative, to obtain all pertinent and financial information required for the proper preparation of all forms and records. Obtain required signatures on the financial agreements form.
• Perform admitting duties and register patients via hospital computer system. Enter daily orders/charges via the Order Entry System on each outpatient and inpatient as required. Receive orders from patient care units and respond accordingly.
• Assign patients to a room based on diagnosis, precautions, and type of accommodations available or requested. Escort or arrange to have patient transported to appropriate room. Transfer and discharge patients as requested by Nursing Service.
• Perform scheduling duties. Receive referral information from patients, physicians, and therapists. Schedule patients according to current systems and keep all systems and involved parties up-to-date throughout each day. Track cancellations and no-shows.
• Interact effectively with medical and nursing staff in the Emergency Department in order to gather correct, complete data necessary to ensure that clinical and fiscal responsibilities are facilitated for both the patient and the Hospital. Follow manual procedures when computer system is not functioning properly.
• Accept pre-admission orders from physicians either in writing or orally. Schedule pre-admission testing in accordance with Hospital regulations and guidelines.
• Schedule all elective admissions. Notify physician's office that an admission type may be inappropriate according to insurance guidelines. Alert the physician's office when prior approval is needed for a patient. Schedule necessary pre-admission appointments and patient assessments.
• Call patients at home to verify information prior to admission and call physician's office if a patient has not arrived for his/her pre-admission visit. Visit patient(s) or family on Hospital unit if necessary to complete data.
• Stay current with new admission regulations of the many public and private insurance companies which patients carry such as Medicare pre-admission approval guidelines, Master Health Plus prior approval, and others.
• Recognize and take action when a patient is scheduled inappropriately or does not follow necessary procedures so as not to leave the Hospital at a financial risk. Contact an insurance plan for authorization, if necessary, prior to admission. Determine which insurance plan is to be billed as primary or secondary.
• Explain over the phone and in person, hospital and insurance regulations relating to surgery, visiting hours, charges, pre-admission testing requirements, clinic appointment verification, and other related issues to patients as necessary. Listen to complaints and concerns of patients and the public, assisting to solve problems if possible and…