Patient Access Rep

Phoenix Children's Hospital, Inc.; Phoenix (AZ); On-site; USD 36,000 - 46,000; Full time

Job summary

Phoenix Children's Hospital, Inc. in Phoenix, AZ is seeking a Patient Access Representative to efficiently register patients, collect co-pays, and verify demographic and insurance information. The role acts as the primary liaison for patients receiving care and may travel between sites.

You will document data in the EMR, answer questions by phone, refer uninsured patients to the Financial Counselor, and support a positive patient experience while maintaining HIPAA compliance.

Qualifications

• High school diploma or equivalent required; an Associate’s Degree preferred.
• 1 year of related office or retail experience including direct customer contact.
• EMR experience and/or HIS platform experience.
• Knowledge of medical terminology and ICD-9/CPT codes; HIPAA privacy knowledge.
• Spanish speaking/writing ability preferred.
• Current BLS certification preferred.

Responsibilities

• Register patients and collect co-pay/deductibles at registration.
• Document information accurately in demographics and insurance fields.
• Answer phones courteously and promptly.
• Refer uninsured/underinsured to Financial Counselor.
• Verify insurance and obtain authorizations for unregistered patients.
• Maintain positive relationships with patients, staff, and management.
• Prioritize and monitor daily registration tasks for accuracy and timeliness.
• Participate in hospital educational programs to stay current.

Skills

Verbal and written communication

Medical terminology & HIPAA

Spanish language ability

Payer/government requirements

Education

High school diploma or equivalent

Associate’s Degree in Healthcare, Business or related

Tools

EMR system experience

AMPFM / Misys / HIS experience

Job description

Location: Phoenix

Shift: Mon-Fri, Days, 7am-5pm

Posting #: 1067713

Employee Type: Full-Time

Position Summary

The Patient Access Representative performs efficient and orderly registration of all patients. Acts as primary liaison for patients receiving professional and hospital services at Phoenix Children's. Prepares admission forms, obtains necessary documentation and signatures, and confirms demographic information when the patient and/or guarantor present for services. Collects co-pay and deductible amounts at time of service. Some travel from site to site may be necessary based on business needs of the department.

Position Duties

• Arrives patients who present for professional and hospital services that have been pre-registered and collect co-pay and deductible amounts. Obtains all necessary signatures from the Guarantor at the time of registration or arrival.
  
• Accurately documents all information in the appropriate fields and/or account notes. Maintains accuracy when entering demographic and insurance information in the system.
  
• Courteously answers the telephone and answers all questions in a timely manner.
  
• Identifies and refers uninsured and underinsured patients to the Financial Counselor.
  
• Inquires patient account system(s) to identify any previous unpaid liability in AMPFM/Misys.
  
• Maintains a positive working relationship with patients/guarantors, insurance companies, government entities, clinical personnel, co-workers and management to promote teamwork, cooperation and a positive public image for Phoenix Children's.
  
• Organizes, prioritizes, and monitors daily work activity to ensure that complete, accurate, and compliant registration has been performed in a timely manner.
  
• Participates in a variety of unit and hospital educational programs to maintain current skill and competency levels.
  
• Performs registration in appropriate HIS system, verifies insurance coverage, obtains authorization for patients who present for professional and hospital services and have not been pre-registered.
  
• Performs miscellaneous job related duties as requested.
  

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable

Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.

Education

Do you meet this requirement or have the ability to obtain it
within the timeframe listed in the requirement? 1. High school diploma or equivalent.
Required Yes No 2. Associate's Degree in Healthcare, Business or related field.
Preferred Yes No

Experience

Do you meet this requirement or have the ability to obtain it
within the timeframe listed in the requirement? 1. 1 year of related office or retail experience including direct customer contact and service, or equivalent combination of education and experience
Required Yes No 2. Electronic Medical Record (EMR) experience.
Preferred Yes No 3. AMPFM, Misys, or HIS platform experience.
Preferred Yes No

Special Skills

Do you meet this requirement or have the ability to obtain it
within the timeframe listed in the requirement? 1. Effective verbal and written communication skills, professional demeanor, team player with a customer-focused attitude.
Required Yes No 2. Knowledge of Medical Terminology and ICD-9/CPT codes and an understanding of HIPAA privacy laws.
Preferred Yes No 3. Ability to speak and write Spanish.
Preferred Yes No 4. Follow any payer or governmental requirement as required by organization.
Required Yes No

Additional Requirements

Do you meet this requirement or have the ability to obtain it
within the timeframe listed in the requirement? 1. Current BLS certification for Healthcare Provider from the American Heart Association.
Preferred Yes No

Physical Requirements & Occupational Exposure/Risk Potential

1. Physical Requirement - Climbing - Occasionally
2. Physical Requirement - Feeling (sensing textures and temperatures) - Occasionally
3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) - Occasionally
4. Physical Requirement - Hearing - Frequently
5. Physical Requirement - Pushing/pulling - Occasionally
6. Physical Requirement - Reaching - Occasionally
7. Physical Requirement - Sitting - Frequently
8. Physical Requirement - Standing - Occasionally
9. Physical Requirement - Stooping/crouching/kneeling/crawling - Occasionally
10. Physical Requirement - Talking - Frequently
11. Physical Requirement - Tasting/smeliling - Occasionally
12. Physical Requirement - Walking - Frequently
13. Physical Requirement - Near Vision - Occasionally
14. Physical Requirement - Far Vision - Occasionally
15. Physical Requirement - Color Discrimination - Occasionally
16. Physical Requirement - Use of keyboard, mouse and/or computer equipment - Constantly
17. Physical Requirement - Lift up to 35 pounds without assistance - Occasionally
18. Physical Requirement - Lift more than 35 pounds without assistance - Occasionally
19. Occupational Exposure/Risk Potential - Inside office environment - Applicable

I have reviewed the qualifications, physical requirementsand occupational exposure/risk potential for this position and wish to apply I Agree