Patient Access Representative

Emory Healthcare; Johns Creek (GA); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health benefits from day 1

Student loan repayment assistance

Family-focused benefits

Wellness incentives

Ongoing mentorship and leadership 프로그램

Job summary

Emory Healthcare in Johns Creek is seeking a Patient Access Representative II to support front-end registration from pre-registration through discharge. You will help coordinate tasks, ensure accurate insurance collection, and support optimal reimbursement.

Responsibilities include understanding insurance, scheduling, referrals, and maintaining compliance with EMTALA, CMS, HIPAA, and JCAHO guidelines, while maintaining patient confidentiality and accurate documentation.

Qualifications

• High school diploma or equivalent.
• At least 2 years healthcare related or customer service experience; knowledge of Medicare, Medicaid, and other commercial payers preferred.
• Associate or bachelor’s degree may be accepted in lieu of experience.
• Certified Healthcare Access Associate (CHAA) preferred.
• Typing skills with a minimum of 35 wpm and good communication skills.

Responsibilities

• Coordinate, prioritize, and complete front-end patient registration activities ranging from pre-registration through discharge in the Patient Access Services Department.
• Prioritize work for optimal reimbursement and to avoid financial risk to both patient and hospital. Ensures all insurance requirements are met prior to or on the date of service and informs patients of their financial liability and collects liability due.
• Maintain thorough understanding of insurance, registration, scheduling, referrals, authorizations, and account follow-up.
• Maintain knowledge of multiple department system applications utilized by Patient Access. Familiar with and adheres to all state and federal regulations such as EMTALA, CMS, HIPAA, and JCAHO guidelines.
• Obtains appropriate signature(s) and scans all appropriate documents (Admission/Registration Agreement, Notice of Privacy Practice, and Important Message from Medicare, etc.).

Skills

Customer service

Communication

Typing 35 wpm

Education

High school diploma or equivalent

Associate or bachelor’s degree accepted in lieu of experience

Job description

Overview

Be inspired. Be valued. Belong. At Emory Healthcare

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoingmentorshipand leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.We provide:

• Comprehensive health benefits that start day 1

• Student Loan Repayment Assistance & Reimbursement Programs

• Family-focused benefits

• Wellness incentives

• Ongoing mentorship, development, leadership programs

• And more

Description

RESPONSIBILITIES:

• A Patient Access Rep II willassistin the coordination, prioritization and completion of front-end patient registration activities ranging from pre-registration through discharge in the Patient Access Services Department.

• A PatientAccess Rep II prioritizes work foroptimalreimbursement and to avoid financial risk to bothpatientandhospital. Ensures all insurance requirements are met prior to or on the date of service and informs patients of their financial liability and collects liability due.

• Maintainsthoroughunderstanding of insurance, registration, scheduling, referrals, authorizations, and account follow-up.

• Maintains knowledge of multiple department system applicationsutilizedby Patient Access. Familiar with and adheres to all state and federal regulations such as EMTALA, CMS, HIPAA, and JCAHO guidelines.

• Obtainsappropriate signature(s)and scans allappropriate documents(Admission/Registration Agreement, Notice of Privacy Practice, and Important Message from Medicare, etc.).

MINIMUM QUALIFICATIONS:

• High school diploma or equivalent.

• Must have at least 2yearshealthcare related or customer service experience. Knowledge of Medicare, Medicaid, and other commercial payers (HMO, PPO) preferred.

• Associate or bachelordegree may be accepted in lieu of experience.

• Certified Healthcare Access Associate (CHAA) preferred. Typing skills with a minimum of 35 wpm andgood communicationskills.

PHYSICAL REQUIREMENTS (Medium Max 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at [e-mail]. Please note that one week's advance notice is preferred.