Patient Access Representative

Talentify; Hyannis (MA); On-site; USD 23,000 - 32,000; Full time

Job summary

Talentify in Hyannis, MA seeks a hospital Registration Clerk to interview patients, verify insurance, and document admissions and pre‑admission details in the hospital system.

You will coordinate with Medical Records, Care Management and other departments, handle payments, and ensure accurate, confidential records while delivering service excellence.

Qualifications

• Ability to read, write and communicate in English at high school level.
• Type at 25 WPM as shown by a timed test.
• Computer skills to perform job functions accurately.
• Medical Terminology course or exam completion.
• Ability to work independently and under pressure.

Responsibilities

• Interview patient or representative to collect required information for registration.
• Coordinate and communicate registration, admission, and pre-admission activities with hospital departments.
• Maintain organized files related to orders, authorizations, slips, and schedules.
• Contact patients, employers, insurers to obtain insurance information and ensure reimbursement.
• Verify benefits and pre-certifications to maximize hospital reimbursement.
• Maintain knowledge of departmental policies to maximize reimbursement.
• Attend departmental meetings as requested.
• Ensure timely placement of patients and process admissions, discharges, transfers.
• Explain and process payments from patients including co-pays, co-insurance, and deductibles.
• Follow procedures securing payment information and provide receipts.
• Provide information on Health Care Proxy, ABN, IMM forms; refer to Financial Counselor.
• Provide service excellence to patients, families, visitors, and co-workers.
• Perform other duties as assigned.

Skills

Typing

Computer literacy

English proficiency

Medical terminology

Education

High school diploma

Job description

1. 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.
2. 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.
3. Initiate and maintain organized files and records, related to orders, payer authorizations, booking slips, schedules, and others per department procedure.
4. 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.
5. 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.
6. Maintains a thorough knowledge of departmental policies and procedures to ensure maximum reimbursement to the hospital.
7. Attends departmental and other meetings as requested by the immediate supervisor.
8. Ensure timely placement of patients in the most effective and appropriate manner. Process admissions, discharges and transfers of all Hospital patients, per department procedures.
9. Explain and process payments from patients, which may include but not limited to co-pays, co-insurance, and deductibles
10. Follows department procedures related to securing payment information and providing patient receipts.
11. 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.
12. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers.
13. Perform other work related duties and activities as assigned or requested by manager/supervisor.

• 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.