Patient Access Representative

Patient Access Representative

The Patient Access (PA) representative is responsible for greeting and registration of patients that enter the Gila Regional Medical Center (GRMC). The PA representative gathers the correct demographic information, necessary billing information, and distributes required regulatory information for all patients seeking treatment or testing in all departments. S/he registers patients, verifies insurance, seeks authorizations when needed, and operates the central phone and alarm systems.

The PA also performs clerical duties to support other departments in the day-to-day operations of GRMC. All duties are performed in compliance with approved standards of care and practice as defined by GRMC.

• Registers patients in a precise, accurate, timely and courteous manner, maintaining 95% data entry accuracy.
• Updates patient demographics.
• Verifies eligibility of insurance and obtains prior authorizations when required.
• Processes paperwork, ensuring complete and accurate documentation.
• Collects copayments and deductibles, and offers discounts for SP/GCHP according to hospital policy.
• Answers phones and transfers calls.
• Operates the central alarm system.
• Maintains strict standards of confidentiality as required by HIPAA standards.
• Provides front-line customer services; meets and greets visitors and directs patients through hospital areas.
• Processes orders, such as transfers and discharges, from the floor as directed.
• Communicates with other departments, such as Radiology, regarding pending authorizations, rescheduling, and denials.
• Participates in staff meeting and in-service programs.
• Participates in department on-call program as assigned.
• Operates the switchboard and intercom to relay incoming, outgoing and interoffice calls and messages.
• Furnishes information/ phone numbers to callers as requested or makes sufficient inquiries necessary to refer the caller to the appropriate hospital personnel.
• Additional duties as assigned.

• Minimum High School Diploma or GED.
• 1 – 2 years college preferred.

• Customer service experience required, with insurance billing preferred.
• Familiar with medical terminology.
• Basic computer skills.
• Familiar with and/or able to use Microsoft Outlook.
• Bilingual in Spanish preferred.

Note:

Job description available upon request.

GRMC is an Equal Opportunity Employer.