Patient Access Representative, 6AM-2:30PM

Registration:

1.    Registers patients presenting for visits.  Explains the registration process to patients and responds to patient questions.

• 2.    
• Processes patient co-payments, co-insurance, deductibles and balances due. Safeguards cash, checks and receipts and reconciles cash drawer at end of each business day. Assists patients with Kiosk check-in as needed.
• 3.    
• Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results.
• 4.    
• Instructs patients and obtains signatures on consent forms, financial forms and other documents required by the clinical department; distributes documents to patients; scans, processes and records receipt of all documents collected during registration encounter.
• 5.    
• Counsels patients regarding non-covered services, obtaining signatures on Advance Notice Beneficiaries (ABNs), consents and waivers.
• 6.    
• Monitors patient waiting area for a smooth, efficient registration flow. Advises patients of potential delays and takes steps to ensure a pleasant patient experience.  
• 7.    
• Completes registrations on inpatient units who may be missing information from their original registration
• 8.    
• Responds to patient concerns and potential patient safety issues accordingly. Recognizes health conditions that are a possible risk to others and adheres to appropriate established procedures to help contain risk.
• 9.    
• Assures a neat, orderly registration desk and patient waiting area, securing all confidential patient information.

Scheduling: 

10.    Initiates patient scheduling activities by prioritizing and accessing a variety of sources, including patient phone calls and digital messaging, orders, scheduled order work queues and MyChart.

• 11.    
• Utilizes a variety of information sources to schedule, reschedule and cancel patient appointments. Information sources include online questionnaires, offline materials and subgroup searches.  
• 12.    
• Establishes working relationship with staff of assigned clinical departments. Understands and correctly applies unique clinical department scheduling protocols.  
• 13.    
• Remains current on scheduling protocols and applies judgment, or seeks management assistance, to ensure safe patient care when clinical department scheduling protocols do not meet patient needs.
• 14.    
• Ensures all required key patient scheduling and registration information is captured and verified.  Key information includes referring physician information, insurance coverage, demographics and contact information.  
• 15.    
• Identifies and communicates to Patient Access management issues that may impact the timeliness and accuracy of patient appointments and subsequent patient care.
• 16.    
• Strictly follows confidentiality and equipment security and safeguarding guidelines when working in a remote setting.  Maintains productivity, quality and accuracy levels and communicates regularly with the Supervisor and Manager.

Pre-Registration:

17.    Efficiently registers patients, capturing and verifying all required information in order to identify the patient, contact the patient, and receive proper reimbursement for services on initial claim submission.

• 18.    
• Ascertains, creates and assigns the guarantor for each patient, including personal/family relations, workers compensation insurance, third parties, behavioral health or others as required. 
• 19.    
• Identifies records and verifies patient insurance coverage using real time eligibility (RTE); reviews the insurer’s response to each verification request and takes appropriate action based on this response.
• 20.    
• Applies the appropriate guarantor and insurance to each patient visit.
• 21.    
• Communicates financial clearance status to patients.  Advises patients of contract status, self-pay status and payment responsibility and schedules patients with Financial Counseling as needed.

Minimum Qualifications: 

Education:    High school degree or equivalent

Licensure, Certification &Registration:   None

Experience:    Prior experience in a business setting providing customer service, while simultaneously processing and verifying electronic demographic, financial or other business-related information and data. 

Skills, Knowledge & Abilities:    Able to work successfully in a fast-paced, multi-task environment, where some independent decision making is necessary. Able to process electronic information and data accurately and efficiently.