Patient Access Representative

RADHealth+; Peterborough; On-site; GBP 16,000 - 23,000; Full time

Job summary

Monadnock Community Hospital is seeking an Patient Access Representative to handle registration and scheduling for multiple departments. The role requires accuracy with demographic data, insurance information, and hospital forms, while maintaining patient confidentiality and delivering excellent service.

The position involves coordinating with physicians and departments, using the Paragon EMR, and ensuring timely authorizations and admissions.

Qualifications

• 2-3 years current, relevant experience in a medical setting.
• Scheduling knowledge and/or registration experience.
• Knowledge of medical terminology.
• EMR system experience (Paragon preferred).
• Attention to detail and ability to multitask.

Responsibilities

• Greet customers and collect demographic and insurance information.
• Enter information into computer systems.
• Explain and secure hospital forms (Advance Directives, Consent for treatment, etc.).
• Complete patient registration for outpatient and inpatient services.
• Coordinate lab and X-ray scheduling and admissions as needed.
• Verify insurance eligibility and obtain authorizations.
• Maintain confidentiality per HIPAA and follow safety policies.
• Provide exemplary customer service and support interdepartmental collaboration.

Skills

Patient registration

Scheduling

HIPAA compliance

Medical terminology

Insurance verification

EMR Paragon

Customer service

Telephone etiquette

Tools

EMR Paragon

Insurance portals

Job description

The Patient Access Representative is responsible for registration and central scheduling for services rendered at Monadnock Community Hospital. Responsible for duties which may include but are not limited to performing scheduling, registration, verifying demographic and insurance information, obtaining authorizations for treatment, patient pre-admission, admission and discharge functions, and Emergency Department registration. Provides exemplary customer service. The Patient Access Representative works collaboratively with other departments of the hospital as well as physician practices in support of our patients. This job description in no way states or implies that these are the only duties to be performed by this employee. The employee will be required to follow any other instructions and to perform any other duties as directed.

Job Requirements:

• Greet customers, collect, and enter demographic and insurance/financial information into computer database.
• Utilizes additional electronic systems and insurance web sites as needed.
• Thoroughly explains and secures hospital and patient legal forms (i.e., Advance Directives, Conditions of Services, Consent for treatment, Important Message from Medicare, EMTALA).
• Accurately completes patient registration for outpatient ancillary departments, outpatient hospital services, surgical procedures, and inpatient hospital admissions.
• Registrations to include laboratory, radiology, surgeries, wounds, oncology, anti-coag clinic, MOA radiology, cardiology, RHC’s, PFT’s, Occ health and emergency department.
• Review of credit and collection report.
• Schedule lab and X-ray services.
• Verifies insurance eligibility and benefits. Obtains insurance authorizations for outpatient hospital services, surgical procedures, and inpatient hospital admissions within required time frames.
• Collaborates with patients, physician offices and ancillary services regarding coordination of lab and X-ray exams to facilitate timely and effective care.
• Utilize hospital and physician computer systems to document for provider correspondence.
• Accepts and returns patient calls using exceptional telephone etiquette.
• Maintains patient confidentiality per HIPAA regulations.
• Adheres to safety practices, reports accidents/hazards and maintains equipment as outlined in hospital and departmental policies. Keeps office neat, clean, organized, and free of clutter.
• Must be able to perform essential job duties in at least two Patient Access service areas including the Emergency Department.
• Uses interpersonal skills effectively to build and maintain collaborative working relationships with co-workers, internal and external customers that lead to more effective communication and higher level of productivity and accuracy.
• Contributes to team efforts, sharing information with co-workers.
• Participates in a positive and cooperative manner.
• Assists with training of new employees as needed.
• Expands job related knowledge and skills to improve performance and adjust to change. Participates in continuing education activities. Reviews updated internal policies and federal, state and agency regulations.

*HOUSING NOTE*: Housing can be a challenge. Please ensure your Traveler explores options PRIOR to submitting to this need.

Submission Requirements

• 2-3 years current, relevant experience in a medical setting
• Previous scheduling knowledge and/or registration experience
• Medical terminology knowledge
• EMR - Paragon (previous knowledge preferred)
• Must have attention to detail and be able to multitask