Patient Access Representative - Verde Valley Locations, AZ

Northern Arizona Healthcare; Southampton; On-site; GBP 25,000 - 30,000; Full time

Job summary

A healthcare organization in Southampton is seeking a Patient Access Representative responsible for verifying and collecting patient demographic and insurance information. The candidate will need excellent customer service skills and proficiency in Microsoft Applications, ensuring accurate data entry and patient financial counseling. This role is essential in supporting the revenue cycle and ensuring compliance with healthcare regulations.

Qualifications

• 1 year in a customer service role is required.
• Proficiency in Microsoft Applications is preferred.
• 2 years experience in a medical facility, health insurance, or related medical field is preferred.

Responsibilities

• Accurately enter patient information into the electronic medical record.
• Verify insurance information and initiation of benefit details.
• Educate patients about their insurance eligibility and financial assistance programs.

Skills

Customer Service

Microsoft Applications

Medical Terminology

Education

High School Diploma or GED

Medical Terminology Coursework

Job description

Overview

The Patient Access Representative is responsible for the verification and collection of patient demographic and insurance information by direct data entry to the electronic medical record during the scheduling/pre-admit or admission process prior to discharge. S/he conducts an interview with the patient or authorized representative to secure information specific to requested services; accurately documenting the discussion and other registration/scheduling activities in the encounter.

Responsibilities

Patient Registration and Scheduling* Demonstrates ability to navigate web-based products or system applications required for registration or scheduling.* Accurate identification of patient for direct data entry of required clinical, demographic, and insurance information to the electronic medical record during registration or for appointment booking of assigned diagnostic procedures.* Provides general explanation of scheduled procedures and patient instructions that are necessary for conducting diagnostic medical services.* Ensures system documentation specific to the patient visit is entered and accurately reflects activities related to patient or provider contact, order documentation, insurance verification, financial education, and payment.* Provides explanation of legal forms and secures signature of patient/authorized party as required for services.* Demonstrates basic understanding of compliance standards required within a healthcare environment including EMTALA and HIPAA-Privacy Patient Confidentiality regulations.Insurance Verification* Accurate identification and selection of insurance carrier in the patient medical record for specified dates of medical services.* Navigation of web-based products or system applications to initiate and document insurance eligibility, benefit details, and authorization requirements.* Performs required notifications to ensure insurance authorization for identified medical services, surgical procedures, and inpatient/observation stays are secured and documented.* Demonstrates basic knowledge of CPT and ICD10 diagnosis coding documentation as required for medical services.Financial Counseling* Demonstrates basic knowledge of regulatory or Third Party Payer insurance requirements including Medicare, AHCCCS/Medicaid, Workers Comp and other commercial payers.* Educates the patient on insurance eligibility, coverage, and availability of medical financial assistance program(s).* Collects identified patient financial liabilities; performs secured payment entry and deposit/cash reconciliation steps.Revenue Cycle Support* Performs PBX Switchboard functions as required for answering and routing of internal/external calls; paging codes and fire alarms; handles department call volumes as assigned to appropriately respond to requests from patients, providers, or other hospital departments.* Acts as a resource for clinical departments for registration/scheduled services related to data entry of patient account fields, provider order requirements, and questions regarding insurance coverage or financial assistance.Compliance/Safety* Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.* Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.* If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.* Completes all company mandatory modules and required job-specific training in the specified time frame.

Qualifications

EducationHigh School Diploma or GED- RequiredMedical Terminology Coursework- PreferredExperience1 year in a customer service role- RequiredProficiency in Microsoft Applications (Excel, Word, PowerPoint)- Preferred2 years experience in a medical facility, health insurance, or related medical field- PreferredHealthcare is a rapidly changing environment and technology is integrated into almost all aspects of patient care. Computers and other electronic devices are utilized across the organization and throughout each department. Colleagues must have an understanding of computers, and competence in using computers and basic software programs.