Patient Access Representative

Gila Regional Medical Center; Silver City (NM); On-site; USD 32,000 - 42,000; Full time

Job summary

Gila Regional Medical Center in Silver City, NM is seeking a Patient Access Representative to greet and register patients, collect demographics and billing information, verify insurance, and obtain authorizations when required.

You will handle front-desk customer service, answer phones and switchboard, process transfers and discharges, maintain HIPAA confidentiality, and support other departments with clerical tasks; Spanish bilingual is preferred.

Qualifications

• Customer service experience required, with insurance billing preferred.
• Familiar with medical terminology and basic computer skills.
• Proficient in Microsoft Outlook.
• Bilingual in Spanish preferred.

Responsibilities

• Registers patients accurately, timely and courteously with 95% data entry accuracy.
• Updates patient demographics and verifies insurance information.
• Obtains prior authorizations when required and communicates with departments for pending authorizations.
• Collects copays and deductibles; explains discounts per policy.
• Answers phones, transfers calls, and operates the central phone/alarm systems.
• Maintains confidentiality per HIPAA and provides front-line customer service to visitors and staff.
• Processes transfers and discharges as directed and coordinates with Radiology and other departments.
• Participates in staff meetings and on-call programs as assigned.

Skills

Customer service

Insurance billing

Medical terminology

Basic computer skills

Bilingual Spanish

Education

High School Diploma or GED

Some college preferred

Tools

Microsoft Outlook

Job description

Description

The Patient Access Representative (PAR) is responsible for greeting and registration of patients that enter the Gila Regional Medical Center (GRMC). The PA representative is responsible for gathering the correct demographic information, necessary billing information, and distributing the required regulatory information for all patients seeking treatment or testing in all departments. S/he registers patients, verifies insurance, seeks authorizations when needed, and operates the central phone and alarm systems. Also expected to perform a number of clerical duties to assist the other departments in the day to day operations of GRMC. Ability to perform said duties in a responsible and professional manner utilizing individual knowledge and skills as well as the knowledge of hospital and departmental policies and procedures. All duties must be performed in compliance with approved standards of care and practice as defined by GRMC.

Essential Functions

• Registers patients in a precise, accurate, timely and courteous manner, maintaining 95% data entry accuracy.
• Updates patient demographics
• Verifies eligibility of insurance and obtains prior authorizations when required
• Processes paperwork, ensuring complete and accurate documentation
• Collects copayments and deductibles, and offers discounts for SP/GCHP according to hospital policy
• Answers phones and transfers calls
• Operates the central alarm system
• Maintains strict standards of confidentiality as required by HIPAA standards
• Provides front-line customer services; meets and greets visitors and directs patients through hospital areas
• Processes orders, such as transfers and discharges, from the floor as directed
• Communicates with other departments, such as Radiology, regarding pending authorizations, rescheduling, and denials
• Participates in staff meeting and in-service programs
• Participates in department on-call program as assigned
• Operates the switchboard and intercom to relay incoming, outgoing and interoffice calls and messages.
• Furnishes information/ phone numbers to callers as requested or makes sufficient inquiries necessary to refer the caller to the appropriate hospital personnel.
• Additional duties as assigned

Requirements

EDUCATION & TRAINING REQUIREMENTS

• Minimum High School Diploma or GED
• 1 – 2 years college preferred

Work Experience Requirements

• Customer service experience required, with insurance billing preferred
• Familiar with medical terminology
• Basic computer skills
• Familiar with and/or able to use Microsoft Outlook
• Bilingual in Spanish preferred

Note: Job description available upon request.

All required documents must be presented at time of hire.

EXTERNAL APPLICANT: Employment is contingent upon successful completion of pre-employment drug and alcohol testing.GRMC is an Equal Opportunity Employer