Sr. Patient Access Rep: OLGMC ED

Ochsner Health; Louisiana (MO); On-site; USD 32,000 - 42,000; Full time

Job summary

Ochsner Health seeks a patient services representative to provide excellent customer service to patients and guests, both by phone and in person, throughout the medical experience.

The role involves explaining insurance benefits, collecting co-pays and balances, handling registrations, and supporting financial counseling activities. The position requires strong data entry skills, familiarity with Windows applications, and teamwork in a hospital setting.

Qualifications

• High School diploma or equivalent is required; additional degrees or certifications may meet minimum qualifications.
• Associates degree preferred in some cases.
• Experience in hospital, clinic, medical office, or revenue cycle settings is beneficial.

Responsibilities

• Provide excellent customer service to patients, guests and employees and communicate effectively throughout the medical experience.
• Handle data entry and processing of charges/claims; assist with payments and financial responsibilities.
• Explain insurance benefits and collect co-pays, deductibles, and self-pay portions.
• Research and resolve issues related to registration, scheduling or related processes; monitor productivity and accuracy.

Skills

Customer service

Data entry

Communication skills

Windows applications

Teamwork

Education

High School diploma or equivalent

Associates degree

Tools

Windows

Job description

We’ve made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, andinnovate.Webelieve that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.

At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!

This job provides excellent customer service to patients and guest whether via telephone contact or in person and effectively communicates with patients throughout their medical experience. Explains insurance benefits and collects co-pays, deductibles and self-pay portions due while informing the patient of their financial responsibility; researches and resolves complaints regarding customer service, registration, authorization or scheduling; monitors team productivity/accuracy and works with team members on any issues.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company’s discretion.

Schedule

Evening Shift 3pm -11:30 pm includes Nights, Weekend and Holidays

Education

Required -High School diploma or equivalent; additional degrees, business training experience and/or certifications may be combined to meet minimum qualifications.

Preferred -Associates degree

Work Experience

Required -Minimum of 3 years of experience in a hospital, clinic, medical office, business services/revenue cycle, or other customer service-related environment. Experience may include front line registration, financial counseling, banking, retail, or similar roles involving direct customer or patient interaction.

Certifications

Preferred -Certification in Healthcare Access Manager (CHAM), Certification in Healthcare Access Associate (CHAA), Certification as a Medical Assistant (or other medical specialty-based certification)

Knowledge Skills and Abilities (KSAs)

• Must have computer skills and dexterity required for data entry and retrieval of patient information.
• Must be proficient with Windows-style applications and keyboard.
• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process
• Must have computer skills and dexterity required for data entry and retrieval of information
• Must be proficient with Windows-style applications, various software packages specific to role and keyboard
• Strong interpersonal skills

Job Duties

• Provide excellent customer service to all patients, guests, family members and employees and effectively communicating with patients throughout their medical experience
• Performs daily operations activities such as: ensures accurate and timely collection of all data and required forms necessary for the processing of charges/claims, and ultimately, the receipt and processing of payments owed to the company.
• Explains insurance benefits and collects co-pays, deductibles and self-pay portions due, and inform patient of financial responsibility.
• Researches and resolves any issues impeding the efficient and effective registration of accounts; working with team on quality assurance scores to improve accuracy and by monitoring the workques for those accounts.
• Researches and resolves complaints regarding customer service, registration, authorization or scheduling.
• Monitors and maintains productivity and accuracy: meets all department productivity and accuracy goals and maintains records documenting activity. Monitors team member productivity/accuracy and works with team members on any issues identified.
• Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.

Other related duties as required. The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

The employer is 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, protected veteran status, or disability status.

Physical and Environmental Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Must be able to sit for prolonged periods of time.
Must be able to stoop, bend, reach and grab with arms and hands, manual dexterity.

Normal routine involves no exposure to blood, body fluid or tissue, but exposure or potential for exposure may occur.

The incumbent works in a patient care area; works in an area where patients enter; works directly with patients; and/or works with specimens that could contain diseases. There may be an occupational risk for exposure to all communicable diseases.

Because the incumbent works within a healthcare setting, there may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. The risk level of exposure may increase depending on the essential job duties of the role.

Ochsner is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to any legally protected class, including protected veterans and individuals with disabilities.