Lead Patient Access Representative - Admitting

Sioux Center Health; United States; On-site; USD 36,000 - 54,000; Full time

Job summary

Sioux Center Health is seeking a Lead Patient Access Representative to review and edit patient accounts, ensuring accurate processing of claims and timely admissions within a faith-centered hospital environment.

Responsibilities include handling emails and calls, directing patients and staff, running reports, and following up on denials while upholding HIPAA confidentiality. A strong team culture and community engagement are emphasized.

Qualifications

• High school diploma or GED, or one or more years of related experience.
• Bi-lingual experience preferred but not required.

Responsibilities

• Answer incoming email requests to edit patient accounts.
• Answer overflow calls and screen or transfer as needed.
• Greets and directs employees, visitors, patients, and others arriving at the facility.
• Run and follow up on reports; Meditech account checks.
• Review denials and follow up on accounts for accuracy.
• Maintain confidentiality of patient information per HIPAA.
• Assist with admission and transfer processes and related documentation.
• Prepare for next day’s patient schedules and necessary forms.

Skills

Bi-lingual experience

Communication

Education

High school diploma or GED

Bi-lingual experience preferred

Tools

Meditech

Job description

Location: Sioux Center, IA Worker Type: Regular Work Shift: Rotating days/evenings/nights/weekends/holidays (United States of America)

Discover a Career of Faith and Healing: For over 70 years, Sioux Center Health has served patients with Jesus’ healing ministry. With eight locations located in Sioux Center, Iowa and surrounding communities, we take great pride in providing superior care in our state-of-the-art facilities.

A Career that You Will Love: There’s no other way to say it: You will love working here. Between our strong mission and our great people, we have nurtured a pretty exceptional culture at Sioux Center Health.

A Chance to Make a Difference: Working with us means making a real difference in the lives of our community members. Your talents and your passions are truly appreciated here. In addition to the service we provide, Sioux Center Health also supports our community with sponsored programs and events, and other volunteer work. If this is your passion, you need to consider joining our team driven to provide quality care and services within a caring Christian culture.

Position Highlights At Sioux Center Health, our people are the heart of everything we do. Guided by a strong mission and a commitment to exceptional care, we've built a stable, thriving organization where employees make a meaningful difference. Our dedication to excellence is reflected in the recognition we have earned. Sioux Center Health has been named a Top Workplace in Iowa, received Best of the Northwest honors in 13 categories—including Best Place to Work—and earned a Five-Star Patient Survey Rating from the Centers for Medicare & Medicaid Services (CMS). We have also been recognized as a Chartis Top 100 Critical Access Hospital and Top Hospital in Iowa. Our Care Center has received the LeadingAge Excellence in Workplace Award, reflecting our commitment to creating a positive environment for both residents and employees. Beyond our organization, you'll find an outstanding community to call home. Sioux County was ranked #4 in the nation among the Healthiest Communities by U.S. News & World Report and CVS Health, reflecting the high quality of life and strong community values that make this region a great place to live, work, and grow.

Summary The Lead Patient Access Representative is responsible for reviewing and editing patient accounts to correct and reduce errors and to ensure timely processing of claims. This position requires independent judgment and a working knowledge of department procedures related to work performed in order to contribute to the efficient operation of the department.

General Hours of Work As determined (day, evening, night, rotating weekends)

Education and/or Experience High school diploma or general education degree (GED); or one or more years of related experience and/or training; or equivalent combination of education and experience preferred. Bi-lingual experience preferred but not required.

Certificate, Licenses, Registrations N/A

Essential Functions Answers incoming email requests from various areas throughout the hospital to make edits to patient accounts. Answer incoming overflow calls, screening as necessary and transferring appropriately. Greets and directs employees, visitors, patients, business representatives and the general public arriving at the facility. Provides general information regarding the facility and department functions and procedures. Run and follow-up on reports assigned by coordinator or manager. Meditech Account Checks follow-up. Returned mail fixes and tracking. Review denials report and look into accounts for follow-up. Communicates with team members throughout various areas within the facility; use of telephone, mobile communication, computer and other office related equipment for this purpose. Operates overhead page system. Processes daily patient admissions and patient transfers within the facility, interviews patients or relatives regarding personal and insurance information; instructs patients and relatives of related policies and procedures; records and types patient and insurance information and obtains appropriate signature. Ensures all the necessary consents and HIPAA forms are signed and completed. Must be able to maintain strict confidentiality of patient information. Preparation of future work for next day’s patient schedules. This may include pre-registration, insurance eligibility checks, gathering of appropriate forms for privacy, consent and signature and reminder phone calls. Processes documents of straightforward nature requiring somewhat expanded knowledge of procedures; check documents for accuracy and completeness of specific entries; maintains files and records of documents processed for ready access; records data onto documents according to standard procedures related to work performed. Notifies nursing staff of patient arrival and routes patient to waiting, testing or therapy areas as necessary; if the patient is to be admitted, notifies nursing staff of patient’s arrival and finds an escort for patient to the appropriate area Must be willing and able to perform under the pressure associated with various situations. Performs other duties and responsibilities as assigned.

At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward.