Patient Access Representative - Full Time - Days

Crisp Regional Health Services; Cordele (GA); On-site; USD 32,000 - 42,000; Full time

Job summary

Crisp Regional Health Services seeks a Patient Access Representative to support inpatient registration, collect payments, verify insurance, and direct patients to appropriate services. The role emphasizes respectful communication with adults and geriatrics and ensuring privacy in line with HIPAA policies.

Responsibilities include timely registrations, data accuracy, insurance coordination, room assignments, and collaboration with the Financial Counselor and various hospital departments.

Qualifications

• Education: High school diploma or GED.
• Experience: Up to three months of on-the-job work-related experience to learn CRHS registration policies and procedures.
• Licensure, Registrations & Certifications: On-the-job certification offered during the probationary period.

Responsibilities

• Meets and greets patients and family members, making them feel at ease with proper greeting, body language, and eye contact.
• Ensure all patients are registered in a timely manner, prioritizing during high volume periods.
• Obtain and input complete patient demographic information and verify existing information.
• Notify insurance company of admissions at registration and obtain pre-authorization.
• Process patient registrations promptly, courteously, and professionally.
• Assign a unique Medical Record Account (E) number for each patient.
• Direct patients to appropriate locations for required services.
• Obtain guarantor’s signature on all documents.
• Secure patient ID band on the patient.
• Receive payments and issue receipts by cash, check, or bank card.
• Refer self-pay patients to the Financial Counselor for screening.
• Obtain room assignments for direct admissions from the House Supervisor.
• Distribute registration records to Business Office, HIM, physicians, and appropriate departments.
• Address patient inquiries accurately and promptly.
• Provide backup for switchboard after 9:30 PM and during meal breaks; monitor alarms and notify necessary personnel.
• Comply with CRHS privacy policies and HIPAA rules.
• Attend in-service training and meetings as required.
• Adhere to CRHS policies for quality, safety, and infection control.
• Perform other related duties as assigned.

Education

High school diploma or GED

Job description

Position Summary

Under the leadership of the Director, Patient Access, the Patient Access Representative is an active member of the Patient Access team that delivers patient registration services and support that is consistent with the strategic vision, goals, philosophy, and direction of Patient Access and CRHS. The Patient Access Representative conducts the in-patient registration process, registration interviews and enters registration data into the system. The Representative obtains room assignment and insurance verification, calculates charges, collects payment for services and explains hospital policies regarding payment for charges. The Patient Access Representative directs patients to the proper area for treatment and addresses routine patient inquiries and problems. The Representative communicates registration issues with adults and geriatrics while being sensitive to communication barriers, including hearing and vision limitations, literacy levels and emotional state.

Basic Qualifications

• Education: Requires a high school diploma or a GED state certification.
• Experience: Requires up to three months of on-the-job work-related experience to become familiar with CRHS’s Outpatient and Emergency Department patient registration policies and procedures.
• Licensure, Registrations & Certifications: Offered an on-the-job certification through Hometown University during the probationary period.

Essential Job Responsibilities

• Meets and greets patients and family members putting them at ease with appropriate greeting with proper body language and eye contact.
• Ensure all patients are registered in a timely manner, prioritizing registrations during periods of high volume.
• Obtains and inputs complete and accurate patient demographic information, including verification of existing personal and business information.
• Notifies the appropriate Insurance company of admissions at the point of registration and obtains pre-authorization approval.
• Processes patient registration in a prompt, courteous and professional manner.
• Ensures that each patient is assigned a unique Medical Record Account (E) number.
• Knows and directs patients to the appropriate locations for all services required.
• Obtains the guarantor’s signature on all documents.
• Secures the patient ID band to the patient.
• Receives payments and issues receipts for all patients’ payments by cash, check, or bank card.
• Refers all self-pay patients to the Financial Counselor for screening.
• Obtains room assignments for direct admissions from the House Supervisor.
• Distribute registration records to Business Office, HIM, Physicians, and appropriate ancillary departments.
• Addresses patient queries accurately and in a timely manner.
• Provides backup for switchboard after 9:30 PM and for meal breaks. Monitors all alarm control panels, calling appropriate codes or notifying the maintenance department and house supervisor as necessary.
• Complies with all CRHS privacy policies and procedures including those implementing the HIPAA Privacy rule.
• Attends in-service training, education programs and meetings as required or directed.
• Adheres to established CRHS and departmental policies, procedures and objectives for quality assurance, safety, environmental, and infection control.
• Performs other related job duties as assigned.