Join to apply for the Patient Access Representative Full Time role at United Surgical Partners International, Inc.
$500 Sign on Bonus for Full Time Patient Access Rep!
The Patient Access Representative is responsible for the complete and accurate registration of all patients obtaining services at the facility. Responsibilities include gathering and entering patient information, verifying benefits, obtaining signatures, collecting co-payments, and ensuring a smooth registration process that reflects excellent customer service.
Essential Functions:
- Coordinate with clinical departments or scheduling to obtain appointment details before the service date.
- Pre-register 98% of scheduled patients at least three business days in advance.
- Accurately enter and validate patient demographic and insurance information, maintaining a 95% accuracy rate.
- Review the MPI to avoid duplicate records.
- Obtain signatures on necessary forms and documents.
- Complete MSP questionnaires for Medicare registrations.
- Work with physician offices and hospital departments to prepare for patient arrivals.
- Verify insurance eligibility and benefits online, and handle pre-authorizations and pre-certifications as needed.
- Communicate with insurance companies and physician offices to resolve authorization issues.
- Collect co-payments, deductibles, or co-insurance at the time of service.
- Ensure compliance with EMTALA regulations in emergency registrations.
- Log cash collected, generate receipts, and maintain balanced cash drawers.
- Meet cash collection goals and maintain high-quality customer service.
- Copy/scan insurance cards and driver's licenses consistently.
- Manage incoming calls professionally and assist at the front desk as needed.
- Verify medical licensure and check Medicare sanctions for outpatient diagnostic tests.
- Provide excellent customer service to all patients and contacts.
- Adhere to quality, productivity, and attendance standards.
- Maintain patient confidentiality according to HIPAA.
- Stay current with registration and insurance processes.
- Perform other duties as assigned.
Qualifications:
- High School diploma or equivalent; 2 years college preferred.
- Experience in patient registration and verification preferred.
- Knowledge of governmental regulations and reimbursement criteria preferred.
- Typing speed of 40 WPM, proficiency with office equipment.
- Excellent communication and interpersonal skills.
- Ability to handle multiple tasks and prioritize effectively.
- Positive attitude and professional demeanor.
- Ability to think and act decisively.
Physical Demands & Environment:
- Light physical activity, including lifting up to 10 pounds, standing, and walking.
- Frequent keyboard use, effective communication, and good vision and hearing.
- Exposure to potential hazards, adhering to safety protocols.