PAS Representative - PRN - Williston

Position: PAS Representative I - PRN - Williston
PAS Registration Representative I - PRN - Williston

Position Overview:

Under the direction of the Patient Access Supervisor or designated team leader, the Patient Access Registration Representative I is an entry-level member of the Patient Access Services team responsible for developing proficiency in assigned Patient Access functions and providing accurate, timely, and customer-focused patient access services. Performs registration, pre-registration, patient check-in, financial clearance, insurance verification, work queue management, and related administrative functions in accordance with established procedures, organizational standards, and payer requirements.

The Patient Access Registration Representative I serves as a frontline representative of McKenzie Health and is responsible for creating a positive patient experience while maintaining confidentiality, productivity, and compliance with organizational policies and payer requirements.

The Patient Access Registration Representative I may be assigned to various Patient Access functional areas based on department needs, training, and demonstrated competency. These areas may include hospital registration, outpatient registration, emergency department registration, outpatient surgery and special procedures, observation/inpatient registration, insurance verification, financial collections, customer service/information desk functions, telephone support, and scheduling support.

Supervisory Responsibilities:

None

Key Responsibilities:

Performs accurate and timely pre-registration, registration, admission, and patient check-in functions for hospital and outpatient services according to established procedures.

Verifies and updates patient demographic, insurance, guarantor, and financial information in the electronic health record and other applicable systems.

Verifies insurance eligibility, benefits, authorization requirements, and other payer requirements as applicable to the assigned area and established training.

Obtains and documents required patient information and supporting documentation in accordance with departmental and organizational standards.

Collects applicable copayments, deductibles, coinsurance, deposits, and other patient financial responsibilities in accordance with established policies and procedures.

Provides patients with appropriate information regarding financial responsibility, payment expectations, and available financial assistance resources and refers patients to Financial Counseling when appropriate.

Reviews registration information for completeness and accuracy and takes appropriate action to correct routine errors or missing information.

Works and monitors assigned Patient Access work queues, reviewing, researching, resolving, documenting, and prioritizing accounts according to established workflows, patient needs, and departmental priorities.

Assists with overflow telephone calls and other Patient Access call activity as assigned, providing accurate information and directing calls to the appropriate department or resource.

Assists with scheduling calls and scheduling-related functions as trained and assigned, ensuring appointments and patient information are accurately documented.

Communicates effectively with patients, families, physicians, clinical departments, payers, and other healthcare team members to facilitate timely patient access and efficient patient flow.

Coordinates with clinical and service delivery areas when registration, insurance, authorization, financial, or other access issues may impact the patient's appointment or service.

Recognizes registration, financial, insurance, authorization, or patient service issues that are outside established procedures or scope of responsibility and escalates them to the…