Patient Access Representative (Per Diem)

St. Luke's University Health Network - Nurse; Pocono Summit (PA); On-site; USD 35,000 - 55,000; Full time

Job summary

An established healthcare provider is seeking a Patient Access Representative to manage patient registration and ensure a seamless experience at their facilities. This role involves verifying patient information, coordinating with various departments, and promoting self-service options to enhance patient engagement. Ideal candidates will possess strong customer service skills and familiarity with healthcare processes. Join a dedicated team committed to providing exceptional care and support to the community, while enjoying a collaborative work environment that values your contributions.

Qualifications

• High school diploma required; healthcare-related certificate preferred.
• Strong customer service and computer proficiency are essential.

Responsibilities

• Handle patient registration and maintain electronic medical records.
• Greet and assist patients, ensuring a positive experience.
• Coordinate with departments for insurance referrals and pre-authorizations.

Skills

Customer Service

Interpersonal Skills

Computer Proficiency

Typing Skills

Insurance Knowledge

Medical Terminology

Education

High School Diploma

Healthcare-related Certificate or Degree

Tools

Epic

Job description

St. Luke's is proud of the skills, experience, and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization, which includes an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses, and other healthcare providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for healthcare.

Job Summary

The Patient Access Representative is responsible for the entire scope of the registration process for patients seen at St. Luke's University Health Network, in outpatient and/or Emergency Department locations. This includes accurately identifying patients, transcribing orders, completing registration screens, entering diagnosis and provider information, verifying insurances, point of service cash collections, work queues, etc. The role requires excellent customer service skills and adherence to PCRAFT values. The representative communicates and coordinates with SLPG practices, clinical/diagnostic departments, and revenue cycle departments to ensure an excellent patient experience, clean claim submission, and payment for services. Occasional travel between campuses or regional locations may be required, with cross-training in all departments at the campus or within the region.

Job Duties and Responsibilities

1. Identify and validate patients in the hospital information system to maintain electronic medical record integrity; report potential identity theft.
2. Maintain knowledge of network policies on patient identification, including procedures like Mark for Merge, Chart Corrections, and Patient Look-Up.
3. Handle patient registration, including demographics, emergency contacts, transcribing diagnostic orders, provider information, diagnosis, insurance, and guarantor verification, insurance eligibility, point of service cash collections, and error management in work queues.
4. Cross-train in all areas of the location or region, including outpatient and Emergency Department areas.
5. Greet and direct patients and visitors, providing courteous service and monitoring visitor policies.
6. Answer calls and provide information regarding the facility and its services.
7. Promote and assist with the usage of MyChart and patient self-service options.
8. Assist with Welcome Kiosk and On My Way technology, including monitoring patient arrivals and journey.
9. Coordinate with SLPG practice or Network Prior Authorization Department to obtain necessary insurance referrals and pre-authorizations to reduce denials.
10. Obtain provider details such as Medical License Number, NPI, and UPIN for outpatient services to ensure proper routing and claim processing.

Physical and Sensory Requirements

Sitting/standing up to 8 hours per day, with periods of data entry, walking, and occasional lifting up to 15 pounds. Hearing and seeing as required for normal conversation and visual tasks.

Minimum Qualifications

High school diploma or equivalent required; healthcare-related certificate or degree preferred.

Training and Experience

Strong customer service and interpersonal skills required. Computer proficiency, accurate typing skills, and insurance knowledge preferred. Medical terminology familiarity and previous healthcare administrative experience are advantageous. Knowledge of health information systems (Epic) is preferred.

Please complete your application with your full legal name and current address, including employment history for the past seven years. Upload a current resume and create a profile upon submission. Thank you for your interest in St. Luke's!

St. Luke's University Health Network is an Equal Opportunity Employer.