Patient Access Representative - Emergency Department

Employment Type:

Full time

Shift:

Rotating Shift

Description:

8a-4:30p or 9:30a-6p

Mission Statement:

· We, St Joseph’s Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

Vision:

· To be world-renowned for passionate patient care and outstanding clinical outcomes.

Core Values:

· In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are.

POSITION SUMMARY:

The Patient Access Representative’s (PAR) directly impacts the revenue cycle by accurately processing data relating to insurance and

demographic information following unit specific policies while maintaining current knowledge of payor insurance requirements. The

PAR may initiate the processes and assesses surgical and diagnostic patient information to be systematically available hospital wide.

The PAR meets established quality and productivity standards and interacts professionally with MD’s, MD office staff, employees,

outside vendors, patients, and patient representatives.

EDUCATION, TRAINING, EXPERIENCE, CERTIFICATION AND LICENSURE:

This position requires two years of medical office or customer service experience. Participates in orientation, patient access training

program and continuing education. Updates and maintains knowledge and skills related to specific areas of expertise.

Participates in orientation and continuing education and updates and maintains knowledge and skills related to specific areas of

expertise.

SPECIAL EQUIPMENT, SKILLS OR OTHER REQUIREMENTS:

Word processing skills required along with PC experience; basic mathematical skills, effective verbal and written communication and

human relations skills. Related experience in hospital registration, Eclipsys or PHS/HPF and knowledge of medical terminology

preferred.

WORK ENVIRONMENT AND HAZARDS:
Clinical Setting. Exposure Class I or II; service specific.

PHYSICAL DEMANDS:
Sedentary work: standing, walking and sitting for prolonged periods of time; repetitive motion of hands,

fingers, and wrists.

WORK CONTACT GROUP:
All services, employees, medical staff, patients, visitors, vendors, and regulatory agencies.

SUPERVISED BY:
Patient Access Coordinator

SUPERVISES:
Not applicable.

CAREER PATH:
Level 2, Level 3 Patient Access Representative;
Coordinator, Manager

Original:
January, 2011

Revised:
August 2011

Revised:
April 2012

General Performance Criteria:
Patient Access Representative

Expectations

Criteria Exceeds Meet Below

Acquires, enters and updates patient registration information into Eclipsys system

and verifies accuracy of data. Provides information related to, but not limited to:

billing, compliance, patient rights and HIPAA.

Verifies patient insurance coverage and obtains authorizations related to the

patient’s stay. Refers non-insured patients to financial counselor.

Requests and collects co-pays; deposits; issues receipts at time of payment.

Communicates with medical/clinical personnel regarding patient access, interfacility

transfers, discharge processing, reimbursement issues, authorization

requirements, surgical and diagnostic orders.

Accurately indexes patient information to HPR; interacts with IS, HIM, ASR’s, to

assure optimal information flow; resolve inaccuracies and discrepancies.

Intakes MD request for patient admission; co-ordinates assignment of patients to

beds; maintains accurate bed-board status; compiles daily census.

Performs other clerical tasks to support supervisor (i.e. QA related audits).

Participates in the development of work schedule to accommodate patient flow and

meet departmental needs.

Professional and Staff Development

Supports/participates with the orientation process for new team members.

Participates in huddles, line ups, and employee meetings.

Participates in voluntary and required in-services, educational activities and

performance improvement activities.

Demonstrates appropriate conflict resolution skills with patients and colleagues.

Displays commitment of the Hospital Mission

Faci…