Patient Access Representative I

Saint Joseph Mercy Health System; Ypsilanti (MI); On-site; USD 35,000 - 45,000; Full time

Job summary

A leading health system is seeking a Patient Access Representative I to handle scheduling, registration, and insurance verification processes. This role involves collaboration with various departments to ensure efficient patient access and requires strong communication and problem-solving skills. The ideal candidate will possess a high school diploma and relevant experience in a healthcare setting.

Qualifications

• Requires high school diploma or equivalent.
• 1-2 years post high school education and/or training or the equivalent.
• One or two years related experience preferred.

Responsibilities

• Responsible for performing the Patient Access Process including scheduling and registration.
• Interacts with patients and physician office staff to schedule services and verify insurance.
• Collects complete patient demographic and financial information.

Skills

Customer service skills

Critical thinking

Problem-solving skills

Interpersonal communication skills

Computerized system application experience

Education

High school diploma or equivalent

1-2 years post high school education

Certified Healthcare Access Associate (CHAA)

Job description

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Description:

Under general supervision, responsible for performing the Patient Access Process components including scheduling, registration, and insurance verification. Interacts with patient and physician office staff to schedule basic radiology future services for patients including the coordination of multiple radiology services in proper sequence, as well as informing patient/doctor's offices of test preparations, insurance requirements, authorizations and financial responsibility for each service. Analyzes tests/procedures ordered with the signs & symptoms for the studies to make appropriate decisions regarding the services needed and the appointments required. Collaborates with multiple locations to best utilize resources, while accommodating physician preferences and patient needs. Speaks directly with departments to resolve numerous scheduling matters including STAT appointments, approvals, block times and appropriate selection of studies to schedule. Manages physician orders and other clinical documentation to ensure it is available and accurate for clinical staff at the time of patient service Responsible for the complete and accurate collection of patient demographic and financial information to create the pre-registration episode. Verifies the patients’ insurance and source of payment and determines the coordination of benefits for scheduled services, as well as prevailing regulatory and 3rd party requirements.

Employment Type:

Full time

Shift:

Description:

Under general supervision, responsible for performing the Patient Access Process components including scheduling, registration, and insurance verification. Interacts with patient and physician office staff to schedule basic radiology future services for patients including the coordination of multiple radiology services in proper sequence, as well as informing patient/doctor's offices of test preparations, insurance requirements, authorizations and financial responsibility for each service. Analyzes tests/procedures ordered with the signs & symptoms for the studies to make appropriate decisions regarding the services needed and the appointments required. Collaborates with multiple locations to best utilize resources, while accommodating physician preferences and patient needs. Speaks directly with departments to resolve numerous scheduling matters including STAT appointments, approvals, block times and appropriate selection of studies to schedule. Manages physician orders and other clinical documentation to ensure it is available and accurate for clinical staff at the time of patient service Responsible for the complete and accurate collection of patient demographic and financial information to create the pre-registration episode. Verifies the patients’ insurance and source of payment and determines the coordination of benefits for scheduled services, as well as prevailing regulatory and 3rd party requirements.

Required Education, Experience And Licensure

Education:

Requires high school diploma or equivalent.

1-2 years post high school education and/or training or the equivalent.

Preferred Experience:

One or two years related experience.

Preferred Certification:

Certified Healthcare Access Associate (CHAA through NAHAM)

Required Skills And Abilities

• Demonstrated computerized system application experience.
• Critical thinking and problem-solving skills.
• Analytical ability to effectively and efficiently resolve registration, scheduling and insurance issues.
• Demonstrated knowledge of the Revenue Cycle processes, components and terminology.
• Exceptional interpersonal communication skills to effectively communicate with patients, team members, clinical colleagues, medical staff, external agencies and contacts.
• Exceptional customer services skills and positive personality attributes.
• Patience in dealing with ordinary, arduous or emotional patients.
• Use of telephones and call center technology.
• Ability to type at 35-40 WPM.
  
  
  

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

00591621

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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