Patient Access Representative

McLaren; Mount Pleasant (MI); On-site; USD 32,000 - 42,000; Full time

Job summary

McLaren Mount Pleasant is seeking a Patient Access Representative to ensure smooth registration and admission processes. You will collect accurate demographic, insurance, and billing data, collect co-pays, and perform initial financial screening for self-pay patients, coordinating with Financial Advisors as needed.

Ideal candidates have a high school diploma and 2+ years in patient access or medical billing, with proficiency in Microsoft Office and basic CPT/ICD-10 knowledge.

Qualifications

• High School Diploma or GED required.
• 2+ years of Patient Access/Medical Billing experience OR an Associates Degree in related field.
• Proficiency in Microsoft Office: Excel and Word; 10-key calculators.

Responsibilities

• Completes assigned tasks accurately and timely.
• Responds professionally and courteously to customers’ needs.
• Cooperates and communicates effectively with all McLaren Health Care team members.
• Maintains confidentiality in all patient and hospital information per HIPAA and policy.
• Answers and screens calls and screens in-house requests for pages and to complete calls for patients needing assistance.
• Directs visitors and others to proper location; maintains on-call lists and safety practices.

Skills

Customer service

Excel

10-key entry

Word

Education

High School Diploma or GED

Associates Degree in related field

Tools

Windows-based applications

Job description

Under minimum direction, the Patient Access Representative is accountable to ensure a smooth timely registration/admission process by obtaining accurate individual demographic, clinical and insurance data; collecting co-pay/deductible, residual and prior balances, perform initial financial screening on all self-pay & out of network patients and then referring them to the Financial Advisors as necessary while providing optimal customer satisfaction; reception; and provides patient way finding as required. The Patient Access Representative is expected to perform assignment tasks within the quality and productivity standards assigned to position responsibilities.

1. Completes all assigned tasks and responsibilities of Patient Access Representative accurately and in a timely manner.

2. Responds promptly, professionally and courteously to all customers’ needs.

3. Cooperates and communicates effectively with all McLaren Health Care team members.

4. Contributes to continuous quality improvement efforts.

5. Completes complex tasks accurately and timely. May seek guidance and direction from Rep III and Supervisor as needed for complex assignments.

6. Organizes time and prioritizes effectively.

7. Practices cost effective measures.

8. Maintains confidentiality in all matters regarding patients, the hospital, the department and human resources.

9. Complies with HIPAA regulations and Patient Bill of Rights.

10. Flexes to meet department needs and objectives.

11. Follows all safety and health standards.

12. Answers and screens outside calls, relays calls to the proper Department, transfers and/or holds calls when necessary.

13. Answers and screens in-house requests for pages, outside lines, and to complete calls for patients who may need assistance.

14. Pages doctors and authorized personnel over the overhead paging system as well as encodes pocket pagers, as requested.

15. Informs appropriate personnel of disaster and fire drills and other Hospital function by announcing them over the intercom, as requested according to overhead paging policy.

16. Maintains file of Hospital personnel and Departments by name and extension numbers as well as phone numbers of Hospitals within the area.

17. Receives disaster information, notifies proper personnel and Departments. Signals all clear when appropriate.

18. Directs visitors, salesman, doctors, outpatient, etc., to proper location as needed.

19. Maintains on-call lists.

20. Monitors Hospital entrance at night and notifies appropriate nursing personnel when necessary.

21. Observes strategic locations of Hospital by security cameras and notifies management of discrepancies observed.

22. Acts as the primary contact for Lost and Found items.

23. Other duties as assigned or when necessary to maintain efficient operation of the department and the company as a whole.

Required

• High School Diploma or GED
• Minimum of 2 years of Patient Access, Customer Service or Medical work experience OR Associates Degree in related field and 2 years of Patient Access or Medical Billing work experience.
• Skills in Microsoft Office, specifically Excel and Word, Window based applications, and 10 key calculators

Preferred

• Certification in medical billing, coding, or equivalent job specific certification
• Working knowledge of CPT, HCPCS, and ICD-10
• Three years’ experience in progressively more responsible finance and/or healthcare revenue cycle functions
  Additional Information
• Schedule: Worksharing
• Daily Work Times: Variable
• Hours Per Pay Period: 0
• On Call: No
• Weekends: Yes