Patient Access Representative

Cape Cod Healthcare; Hyannis (MA); On-site; USD 29,000 - 47,000; Part time

Job summary

Cape Cod Hospital in Hyannis, MA is seeking a Registration Specialist to obtain accurate patient information and verify payer details to support expedient care and proper billing. You will interview patients, coordinate with departments, and process admissions, discharges, and transfers per procedures.

The role requires HS diploma, ability to type 25 WPM, English proficiency, and basic computer skills. Working 32 hours weekly with rotating evenings and weekends; hourly pay range $20.51–$33.69.

Qualifications

• High school diploma or equivalent required.
• Successful completion of Medical Terminology course or challenge exam.
• Type at least 25 words per minute with accuracy.
• Proficient computer and data entry skills; hospital systems experience preferred.

Responsibilities

• Interview patients to collect information for registration and billing.
• Coordinate admissions, transfers and pre-admission activities with departments.
• Verify benefits, obtain referrals, authorizations and ensure maximum reimbursement.
• Explain payments and collect co-pays and deductibles per policy.
• Maintain organized records and provide patient information for financial counseling.

Skills

English literacy

Typing 25 WPM

Computer skills

Work under pressure

Education

High School Diploma or equivalent

Medical Terminology course

Job description

Purpose of Position:

To obtain accurate and complete patient information and payer verification in a customer focused manner, to assure expedient care and accurate billing.

Description

• Interview patient and/or patient representative to obtain required information necessary to complete the registration process in the hospital information system and maintains the accuracy, confidentiality and integrity of the automated database.
• Coordinate and communicate accurate and updated registration/admission/and pre-admission activities with Medical Records, Care/Case Management, Utilization Management, Physicians' offices, Patient accounts, and any other hospital departments, as may be required, to support the appropriate, accurate, safe and effective patient care.
• Initiate and maintain organized files and records, related to orders, payer authorizations, booking slips, schedules, and others per department procedure.
• Contacts patients, employers, insurers and patient representatives to obtain insurance and other information necessary to secure hospital reimbursement, verifies benefits and pre-certifies all insurance plans to ensure maximum reimbursement to the hospital.
• Verifies benefits, utilizing insurance verification systems. Obtains referrals and authorizations required and documents complete information, along with approved bed status, if applicable, in the computer system. Obtains pre-certifications in a manner to ensure maximum allowable reimbursement to the hospital.
• Maintains a thorough knowledge of departmental policies and procedures to ensure maximum reimbursement to the hospital.
• Attends departmental and other meetings as requested by the immediate supervisor.
• Ensure timely placement of patients in the most effective and appropriate manner. Process admissions, discharges and transfers of all Hospital patients, per department procedures.
• Explain and process payments from patients, which may include but not limited to co-pays, co-insurance, and deductibles
• Follows department procedures related to securing payment information and providing patient receipts.
• Provide information to patient and/or representative on: Health Care Proxy, Advanced Beneficiary Notice, Important Medicare Message (IMM) forms, Financial issues and refers to Financial Counselor if appropriate. Obtain completed forms as available.
• Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers.
• Perform other work related duties and activities as assigned or requested by manager/supervisor.

Qualifications

• Ability to read, write and communicate in English at the level of a high school graduate.
• Ability to type at the rate of 25 WPM as demonstrated by a timed test.
• Computer skills to perform the job functions in a satisfactory, accurate and productive manner.
• Successful passage of a Medical Terminology course or successful passage of Medical Terminology challenge exam.
• Ability to work independently and under pressure.

Schedule Details:

32 Hours Per Week, Rotating Eves, 3p-11p or 4p-12a, Every Other Weekend and Rotating Holidays

Organization : Cape Cod Hospital

Primary Location : Massachusetts-Hyannis

Department : CCH-Patient Access

Annual/Hourly: Hourly

Hiring Pay Range: 20.51 - 33.69