Patient Access Representative I, PRN

University of Maryland Medical System Corporation; Bel Air (MD); On-site; USD 23,000 - 29,000; Full time

Job summary

UM Upper Chesapeake Medical Center Bel Air, MD is seeking a Patient Access Representative I, PRN to join the Patient Access/Administrative Services team. The role performs scheduling, registration, pre-admission processing, wayfinding, and data entry in Epic with attention to patient needs and regulatory requirements.

Responsibilities include verifying insurance benefits, obtaining pre-certifications, providing cost estimates, guiding patients to clinics, and assisting with admissions paperwork,

Qualifications

• High school diploma or GED required.
• 1 year of clerical or receptionist experience, preferably in a healthcare setting.
• Certification and memberships to local organizations such as AAHAM, NAHAM preferred.

Responsibilities

• Serves as the first point of contact for patients and visitors in Patient Access/Patient Administrative Services with a focus on customer service.
• Collects and verifies patient and insurance demographics; reviews benefits in Epic and provides cost estimates.
• Secures pre-certifications/pre-notifications for services; collects co-pays and deposits; explains financial assistance options.
• Provides wayfinding to clinics and assists with registration paperwork to ensure accurate and timely reporting and billing.
• Maintains knowledge of registration requirements and communicates procedures to patients; coordinates with Care Management and Social Work for reimbursement.

Skills

Customer service

Data entry

Communication

Healthcare experience

Epic

Education

High school diploma or GED

Tools

Epic

Job description

Job Requirements UM Upper Chesapeake Medical Center Bel Air - 500 Upper Chesapeake Drive Bel Air, MD 21014 Patient Access Representative I, PRN

You will be required to attend hospital orientation during the first week of hire. Under general supervision, performs scheduling, registration, pre-admission processing, wayfinding, and other administrative duties, while adhering to the department specific standards for data entry and patient selection.

The additional duties of this role can include verification of insurance benefit eligibility, insurance pre-certification and authorization, and estimates creation and/or finalization. Works with the care teams and revenue cycle to identify and eliminate barriers to access, reimbursement and affordable care.

Provides education to the patient and family regarding the financial clearance process, and offer information regarding estimated cost of services and financial assistance opportunities. Performs specific administrative and Admission, Discharge and Transfer (ADT) functions and performs these duties in 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

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.

All your information will be kept confidential according to EEO guidelines.

Compensation

Pay Range: $17-$21.39Other Compensation (if applicable): Shift Differentials