Outpatient Access Representative

University of Rochester; San Antonio (TX); On-site; USD 26,000 - 36,000; Full time

Job summary

University of Rochester seeks a Patient Access Representative to perform registration, scheduling and revenue-cycle tasks in ambulatory care. You will ensure accurate data entry, HIPAA compliance and a welcoming patient experience from check-in to checkout.

The role requires using EMR and RIM systems, collecting co-pays, coordinating appointments and safeguarding PHI while maintaining high patient satisfaction during visits.

Qualifications

• Experience handling patient information with accuracy.
• Ability to assist with reception, registration and scheduling.
• Adherence to HIPAA and PHI protection requirements.

Responsibilities

• Greets patients, verifies identity and directs them to the next step.
• Performs registration, scheduling and related revenue cycle tasks.
• Manages EMR and In Basket workflows while ensuring accuracy and patient satisfaction.

Skills

Customer service

HIPAA compliance

EMR system usage

PhI/privacy awareness

Tools

EMR

In Basket

RIM

Job description

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address)

60 Corporate Woods, Brighton, New York, United States of America, 14623

Work Shift

UR - Day (United States of America)

Range

UR URCA 204 H

Compensation Range

$19.15 - $25.85

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Responsibilities

Performs functions associated with patient information processing for ambulatory care visits. Completes the tasks of reception, registration, charge reconciliation process, appointment scheduling, eRecord task management, In Basket management and Telephone encounter management using the electronic medical record and patient access and revenue cycle systems. Ensures patient satisfaction with information processing and reception service. Requires accuracy in order to generate a billable service for the provider. Responsible for functions being completed in an accurate, efficient, and customer friendly manner. May act as a resource to new staff.

ESSENTIAL FUNCTIONS

Greets patients to initiate positive ambulatory experience, requests patient identification, ensures use of two identifiers to verify the correct patient, identifies healthcare provider to be seen, identifies referring provider and primary care physician, directs patients to next destination, obtains signatures as needed, identifies and assesses patients' special needs, and monitors reception area to ensure patient needs are met. Provides interaction of warm hand-off to registration and insurance management (RIM). Updates patients regarding waiting time for the provider every 15 minutes. Protects Personal Health Information (PHI) for patients as indicated by HIPAA regulations. Ensures cleanliness and order in the waiting room/lobby. Collects patient demographic and financial information in an efficient, customer-oriented manner. Asks specific questions of patient to verify information accuracy to establish a billable account. Enters information into electronic medical record (EMR) and patient access and revenue cycle system. Requests patient e-mail address for confirmation purposes. Ensures completion of all appropriate forms by patients, such as Medicare Secondary Payer assurance, provision of HIPAA information for new patients, requesting patient identification to verify identity, provision of Financial Assistance Program, etc. Schedules new and return visits to ambulatory care using the electronic medical record and patient access and revenue cycle system, monitors schedules and reports problems to Supervisor, pre-registers patients for next visit, coordinates appointments for ancillary testing or referrals to other clinic sites, follows-up missed appointments and cancellations, completes any correspondence or forms involved with appointment scheduling, schedules interpreters, schedules outside services to meet patient's needs, and ensures patient satisfaction with visit prior to discharge from the area. Prints After Visit Summary (AVS) at check-out when appropriate, uses two patient identifiers to ensure provision of the summary to the correct patient. May assist with provider template changes. Collects patient co-pays, prepares end of day deposits and reconciles any discrepancies. Answers phone in a timely and courteous manner. Manages incoming clinic calls and sorts calls to various providers. Opens telephone encounter in EMR when speaking with patients. Ensures routing of encounter in EMR to the appropriate staff/provider. Coordinates outgoing calls related to major functions above. Provides information to patients to minimize the need to distribute the telephone call, forwards calls, pages providers, and takes messages. Edits and corrects registration errors and completes missing registration data. Assists in charge reconciliation process. Ensures accuracy of patient schedules. Identifies ways to reduce follow-up, repetitive, or corrective work. Manages multiple processes in EMR, including messaging in In Basket and referral work queue processing, which is part of the patient legal medical record, therefore, ensures accurate and concise information is entered. Assesses the urgency of a situation and determines appropriate routing for the patient, serves as a resource for handling complaints, utilizes service recovery concepts, serves as front-line problem solver. May escort patie