Patient Access Associate II

Join to apply for the Patient Access Associate II (FT) role at Med Star Health
.

Location: Franklin Square Medical Center

Department: Women's Services

Status: Full-time, 40 hours per week

Schedule: Monday – Friday, 8:00 am – 4:30 pm

Must be available for mandatory training schedule in the first 90 days of employment:
Tuesday – Thursday, 8:00 am – 4:30 pm (3 consecutive days, 1 week only).

Responsible for communicating with patients, families, physicians, quality review, and insurance companies to obtain information and insurance verification to assure quality patient care and payment of hospital accounts. This includes greeting patients, providing information, answering phones, registering outpatients and/or inpatients, coding lab accounts and entering orders as required. Additional responsibilities include obtaining all demographics, insurance information, appropriate codes and authorizations from insurance companies, patients (or their representatives), and physicians in a courteous and efficient manner for billing.

Other duties pertinent to optimal customer service, patient flow and efficient staff utilization are also expected. Maintains a professional and courteous behavior to ensure a positive image within the community served and to promote customer satisfaction. May perform bed assignments, assign physicians and schedule patient appointments. Provides other registration clerical and billing support as required. Reviews patient accounts and collects payments at time of service as well as reviews past‑due accounts for monies owed;

refers patients to patient advocacy for any additional financial assistance.

• Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations.
• Greets patients, family members and visitors into the department/service area. May screen visitors and issue visitor passes. Alerts nurses when patients present with any complaints that could be perceived as acute or life‑threatening. Places  on each patient.
• Interviews patients, families and outside sources to obtain complete and accurate demographic and financial information. Inputs data into the system for registration, billing and patient tracking.
• Ensures that all necessary questionnaires and specific forms are completed according to predetermined requirements by government or regulatory agencies or hospital policies. Completes ABN process through registration system as needed and explains to patient as required. Completes Medicare Secondary Payor Questionnaire (MSPQ) as required. Distributes Medicare Letter to inpatients.
• Confirms coverage using online electronic verification systems; selects appropriate insurance codes and may obtain authorizations by utilizing online electronic verification system or other resources such as HDX EVS or Blueline; follow up on insurance authorizations and referrals if needed.
• Is proficient in the use of multiple systems such as Teletracking, SMS, Cerner, Amnion and IDX.
• Explains regulatory financial requirements to the patient or responsible party and collects deposits and deductibles as required. Reviews past‑due accounts at the time of service, collects payments; refers patients to patient advocacy for any additional financial assistance.
• Follows established cash reconciliation policy guidelines and may complete daily.
• Comprehends and adheres to HIPAA and Red Flag rules.
• Adheres to the Med Star Health Financial Assistance Policies and Procedures.
• Utilizes Managed Care Handbook for plan requirements of contracted services or if service is carved out.
• Provides administrative support in various areas of the respective Patient Access departments where needed.
• Maintains flexibility in learning all areas of Patient Access which may include bed control, scheduling patient appointments and clerical support. Performs admitting functions in a timely manner. Works additional time as requested when staffing problems occur.
• Performs scanning functions into the document imaging…