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An established industry player is seeking a dedicated Patient Access Representative to join their team. In this role, you will perform essential receptionist and registration duties, ensuring timely and accurate patient admissions. You'll be the first point of contact for patients and their families, providing them with necessary information and addressing any concerns. This position requires strong critical thinking skills and the ability to thrive in a fast-paced environment. Join a supportive team where your contributions will make a real difference in patient care and experience.
Job Description - Patient Access Rep I - ED 3a-130p 7on/7off (7457-12417)
Description
Performs receptionist, registration, and clerical duties associated with direct and scheduled patient admissions.
Reports to: Patient Access Supervisor
Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness and accuracy.
Distributes and explains forms, documents, and educational handouts to patients or family members.
Meets with patient or patient's caregiver before or after admission to exchange necessary information and documentation. Provides explanation of process and addresses concerns and questions.
Communicates with admitting physician's office, nursing unit staff, and/or other appropriate personnel regarding admission to exchange necessary information and determine placement.
Maintains current knowledge of all rules and regulations governing third party admissions/registrations and pre-certification requirements.
Verifies insurance eligibility and creates estimates based on services rendered, including co-pays, deductibles, and out-of-pocket amounts.
Verifies precertification/authorization on file matches test/procedure/services being performed.
Maintains an acceptable registration error rate & collections goal.
Qualifications
Minimum Education:
High school diploma or equivalent - Required
Preferred: Two years college or medical office specialist education.
Required Skills:
Requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Must be able to function appropriately in a multi-task setting. General understanding of medical terminology and medical insurance.
Certifications:
BLS certification from the American Heart Association (AHA) or American Red Cross (ARC) - Required within 90 days of hire, if not current upon hire.
Minimum Work Experience:
2 years experience in hospital patient access/registration or medical office with emphasis on medical insurance and collections/accounts receivable - Required. Appropriate level of other hospital clerical or relevant customer service experience given consideration in lieu of.
Full-time