Patient Access Representative I

University of Maryland Medical System Corporation; Glen Burnie (MD); Vor Ort; USD 33.000 - 40.000; Vollzeit

Zusammenfassung

University of Maryland Baltimore Washington Medical Center in Glen Burnie, MD, seeks a Patient Access Representative I for full-time night shifts (7:00 PM–3:30 AM). The role includes scheduling, registration, pre-admission processing, wayfinding, data entry, and ADT duties across clinics.

Responsibilities also include verifying insurance, providing cost estimates, arranging pre-certifications, educating patients on financial clearance, and assisting the care team to remove access barriers.

Qualifikationen

• Completion of high school diploma or GED is required.
• 1 year of work experience in a clerical, customer service or receptionist position; 2 years' experience preferred.
• Certification and memberships to local organizations such as AAHAM, NAHAM, etc. preferred.

Aufgaben

• Serves as the first point of contact for patients and visitors, handling all aspects of customer service for Patient Access/Patient Administrative Services.
• Verify patient demographics and insurance benefits and provide cost estimates; secure pre-certifications and/or pre-notifications.
• Educate patients on financial clearance and available financial assistance options; assist with ADT functions across clinics.
• Maintains scheduling templates for providers in outpatient locations and communicates with Care Management for reimbursement.
• Assists training of new Admitting staff by demonstrating operating processes.

Ausbildung

High school diploma or GED

Tools

Epic

Jobbeschreibung

Job Requirements

University of Maryland Baltimore Washington Medical Center - 301 Hospital Drive, Glen Burnie, MD 21061

Patient Access Representative I, Full Time, Nights - 7P-330 AM

Schedule is 7PM - 330AM on varied days, including every other weekend and holiday shifts. All new hires, whether full time or part time, will complete 4-6 weeks of full-time training on the day shift, regardless of their assigned shift.

Performs scheduling, registration, pre-admission processing, wayfinding, and other administrative duties in accordance with department-specific standards for data entry and patient selection. May verify insurance benefit eligibility and complete insurance pre-certification and authorization, as well as create and/or finalize cost estimates. Collaborates with care teams and revenue cycle partners to identify and eliminate barriers to access, reimbursement, and affordable care. Educates patients and families on the financial clearance process and provides information regarding estimated costs of services and available financial assistance options. Performs assigned administrative and Admission, Discharge, and Transfer (ADT) functions across multiple clinics and registration areas within the institution.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

• Serves as the first point of contact for patients and visitors who enter the facilities and is responsible for all aspects of customer service for Patient Access/Patient Administrative Services areas in a manner that ensures a customer focused, quality conscious work climate recognizing that patients visits are filled with anxiety and unknowns.
• Primary functions include focusing on interpersonal skills, data collection, the ability to assess situations, and to assist the team in developing solutions to achieve excellence in customer service while ensuring the financial viability of the hospital.
• Collects and verifies patient and insurance demographics, verifies insurance benefits and coverage by reviewing benefits collection in Epic, provides cost estimates, securing pre-certifications and/or pre-notifications for patient services, collection of co-pay and deposits prior to services and providing financial assistance to patient.
• Provides wayfinding to all clinics which Patient Administrative Services provides registration assistance. Staff must be aware of clinic locations in order to safely and efficiently navigate patients to their appointments.
• Maintains regulatory and functional knowledge of all registration information required, which ensures timely and accurate reporting/billing; also obtains all required signatures, and performs clerical duties as necessary.
• Educates patients regarding adequate insurance coverage. Understands applicable hospital and physician billing requirements and communicates the proper procedures and requirements to patients.
• Communicates coverage issues to the service areas; works with patients and staff to resolve.
• Ensures accuracy and completion of paperwork, prior to filing admissions. Contacts physician/clinical staff to assist with incomplete patient registration paperwork. Distributes admission documents if required.
• Maintains department scheduling templates for applicable providers in outpatient department locations. Ensuring appropriate scheduling utilization.
• Maintains consistent contact with the Care Management team and Social Work departments to ensure required information has been obtained for reimbursement, and that pre-admission and pre-certification requirements are followed.
• Assists supervisor with training of new Admitting staff by demonstrating department operating processes and procedures.

Work Experience

• Completion of a high school level education with attainment of a high school diploma or a State High School Equivalency Certificate (GED) is required.
• Certification and memberships to local organizations such as AAHAM, NAHAM, etc. preferred.
• 1 year of work experience in a clerical, customer service or receptionist position, preferably in a healthcare setting is required. 2 years' work experience preferred.

Job Requirements

University of Maryland Baltimore Washington Medical Center - 301 Hospital Drive, Glen Burnie, MD 21061

Patient Access Representative I, Full Time, Nights - 7P-330 AM

Schedule is 7PM - 330AM on varied days, including every other weekend and holiday shifts. All new hires, whether full time or part time, will complete 4-6 weeks of full-time training on the day shift, regardless of their assigned shift.

Performs scheduling, registration, pre-admission processing, wayfinding, and other administrative duties in accordance with department-specific standards for data entry and patient selection. May verify insurance benefit eligibility and complete insurance pre-certification and authorization, as well as create and/or finalize cost estimates. Collaborates with care teams and revenue cycle partners to identify and eliminate barriers to access, reimbursement, and affordable care. Educates patients and families on the financial clearance process and provides information regarding estimated costs of services and available financial assistance options. Performs assigned administrative and Admission, Discharge, and Transfer (ADT) functions across multiple clinics and registration areas within the institution.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

• Serves as the first point of contact for patients and visitors who enter the facilities and is responsible for all aspects of customer service for Patient Access/Patient Administrative Services areas in a manner that ensures a customer focused, quality conscious work climate recognizing that patients visits are filled with anxiety and unknowns.
• Primary functions include focusing on interpersonal skills, data collection, the ability to assess situations, and to assist the team in developing solutions to achieve excellence in customer service while ensuring the financial viability of the hospital.
• Collects and verifies patient and insurance demographics, verifies insurance benefits and coverage by reviewing benefits collection in Epic, provides cost estimates, securing pre-certifications and/or pre-notifications for patient services, collection of co-pay and deposits prior to services and providing financial assistance to patient.
• Provides wayfinding to all clinics which Patient Administrative Services provides registration assistance. Staff must be aware of clinic locations in order to safely and efficiently navigate patients to their appointments.
• Maintains regulatory and functional knowledge of all registration information required, which ensures timely and accurate reporting/billing; also obtains all required signatures, and performs clerical duties as necessary.
• Educates patients regarding adequate insurance coverage. Understands applicable hospital and physician billing requirements and communicates the proper procedures and requirements to patients.
• Communicates coverage issues to the service areas; works with patients and staff to resolve.
• Ensures accuracy and completion of paperwork, prior to filing admissions. Contacts physician/clinical staff to assist with incomplete patient registration paperwork. Distributes admission documents if required.
• Maintains department scheduling templates for applicable providers in outpatient department locations. Ensuring appropriate scheduling utilization.
• Maintains consistent contact with the Care Management team and Social Work departments to ensure required information has been obtained for reimbursement, and that pre-admission and pre-certification requirements are followed.
• Assists supervisor with training of new Admitting staff by demonstrating department operating processes and procedures.

Work Experience

• Completion of a high school level education with attainment of a high school diploma or a State High School Equivalency Certificate (GED) is required.
• Certification and memberships to local organizations such as AAHAM, NAHAM, etc. preferred.
• 1 year of work experience in a clerical, customer service or receptionist position, preferably in a healthcare setting is required. 2 years' work experience preferred.