Patient Access Representative

Phoenix Children's Hospital, Inc.; Phoenix (AZ); On-site; USD 25,000 - 36,000; Full time

Job summary

Phoenix Children's Hospital, Inc. is seeking a Patient Access Representative to register patients, collect co-pays, verify demographics and signatures, and act as a primary liaison for patients receiving services.

The PRN role requires accurate EMR documentation, strong customer service, and the ability to work with insurance companies and financial counselors. Some travel between sites may be necessary to support department needs.

Qualifications

• High school diploma or equivalent required.
• Associate degree in healthcare, business or related field preferred.
• 1 year of related office or retail experience with direct customer contact required.
• EMR experience preferred.
• AMPFM, Misys or HIS experience preferred.
• Knowledge of medical terminology and HIPAA privacy laws preferred.

Responsibilities

• Register patients arriving for services and collect co-pay and deductible amounts.
• Document demographic and insurance information accurately in the system.
• Answer phones professionally and respond to inquiries promptly.
• Refer uninsured/underinsured patients to the Financial Counselor.
• Verify patient information in EMR/HIS and ensure authorization when needed.
• Maintain positive relationships with patients, guarantors, insurers and staff.
• Prioritize daily work to ensure compliant and timely registration.
• Participate in education programs to maintain skills.

Skills

Verbal & Written Communication

Customer Service

Medical Terminology

HIPAA Privacy Knowledge

Spanish Language

Payer Requirements

Education

High School Diploma or Equivalent

Associate Degree Preferred

Job description

Department: PCH-MAIN | Hospital Registration

Location: Phoenix

Shift: Mon-Fri, Sat, Days, Evenings, 5am-9pm

Posting #: 1059894

Employee Type: PRN

Position Summary

The Patient Access Representative performs efficient and orderly registration of all patients. Acts as primary liaison for patients receiving professional and hospital services at Phoenix Children's. Prepares admission forms, obtains necessary documentation and signatures, and confirms demographic information when the patient and/or guarantor present for services. Collects co-pay and deductible amounts at time of service. Some travel from site to site may be necessary based on business needs of the department.

Position Duties

• Arrives patients who present for professional and hospital services that have been pre-registered and collect co-pay and deductible amounts. Obtains all necessary signatures from the Guarantor at the time of registration or arrival.
• Accurately documents all information in the appropriate fields and/or account notes. Maintains accuracy when entering demographic and insurance information in the system.
• Courteously answers the telephone and answers all questions in a timely manner.
• Identifies and refers uninsured and underinsured patients to the Financial Counselor.
• Inquires patient account system(s) to identify any previous unpaid liability in AMPFM/Misys.
• Maintains a positive working relationship with patients/guarantors, insurance companies, government entities, clinical personnel, co-workers and management to promote teamwork, cooperation and a positive public image for Phoenix Children's.
• Organizes, prioritizes, and monitors daily work activity to ensure that complete, accurate, and compliant registration has been performed in a timely manner.
• Participates in a variety of unit and hospital educational programs to maintain current skill and competency levels.
• Performs registration in appropriate HIS system, verifies insurance coverage, obtains authorization for patients who present for professional and hospital services and have not been pre-registered.
• Performs miscellaneous job related duties as requested.

Phoenix Children's Mission, Vision, & Values

Mission

To advance hope, healing and the best healthcare for children and their families

Vision

Phoenix Children's will be the leading pediatric health system in the Southwest, nationally recognized for exceptional care, innovative research and advanced medical education.

We realize this vision by:

• Offering the most comprehensive care across ages, communities and specialties
• Investing in innovative research, including emerging treatments, tools and technologies
• Advancing education and training to shape the next generation of clinical leaders
• Advocating for the health and well-being of children and families

Values

• We place children and families at the center of all we do
• We deliver exceptional care, every day and in every way
• We collaborate with colleagues, partners and communities to amplify our impact
• We set the standards of pediatric healthcare today, and innovate for the future
• We are accountable for making the highest quality care accessible and affordable

Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.

Education

Do you meet this requirement or have the ability to obtain it within the timeframe listed in the requirement?

• 1. High school diploma or equivalent. Required
• 2. Associate's Degree in Healthcare, Business or related field. Preferred

Experience

Do you meet this requirement or have the ability to obtain it within the timeframe listed in the requirement?

• 1. 1 year of related office or retail experience including direct customer contact and service, or equivalent combination of education and experience Required
• 2. Electronic Medical Record (EMR) experience. Preferred
• 3. AMPFM, Misys, or HIS platform experience. Preferred

Special Skills

Do you meet this requirement or have the ability to obtain it within the timeframe listed in the requirement?

• 1. Effective verbal and written communication skills, professional demeanor, team player with a customer-focused attitude. Required
• 2. Knowledge of Medical Terminology and ICD-9/CPT codes and an understanding of HIPAA privacy laws. Preferred
• 3. Ability to speak and write Spanish. Preferred
• 4. Follow any payer or governmental requirement as required by organization. Required

Additional Requirements

Do you meet this requirement or have the ability to obtain it within the timeframe listed in the requirement?

• 1. Current BLS certification for Healthcare Provider from the American Heart Association. Preferred

Physical Requirements & Occupational Exposure/Risk Potential

• 1. Physical Requirement - Climbing -Occasionally
• 2. Physical Requirement - Feeling (sensing textures and temperatures) -Occasionally
• 3. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) -Occasionally
• 4. Physical Requirement - Hearing -Frequently
• 5. Physical Requirement - Pushing/pulling -Occasionally
• 6. Physical Requirement - Reaching -Occasionally
• 7. Physical Requirement - Sitting -Frequently
• 8. Physical Requirement - Standing -Occasionally
• 9. Physical Requirement - Stooping/crouching/kneeling/crawling -Occasionally
• 10. Physical Requirement - Talking -Frequently
• 11. Physical Requirement - Tasting/smelling -Occasionally
• 12. Physical Requirement - Walking -Frequently
• 13. Physical Requirement - Near Vision -Occasionally
• 14. Physical Requirement - Far Vision -Occasionally
• 15. Physical Requirement - Color Discrimination -Occasionally
• 16. Physical Requirement - Use of keyboard, mouse and/or computer equipment -Constantly
• 17. Physical Requirement - Lift up to 35 pounds without assistance -Occasionally
• 18. Physical Requirement - Lift more than 35 pounds without assistance -Occasionally
• 19. Occupational Exposure/Risk Potential - Inside office environment -Applicable

I have reviewed the qualifications, physical requirementsand occupational exposure/risk potential for this position and wish to apply I Agree