Patient Access Representative

PURPOSE OF THE JOB: To ensure all demographic and financial information is accurately collected, verified, and recorded in the Electronic Health Record Patient Accounting System. Functions include patient registration, registration, Emergency Room registration insurance eligibility, verification determination, authorization requirements, patient liability, collection, scheduling, and admitting duties. Employees are also responsible for obtaining signatures for all required organization, state and federal consents and/or notifications.

QUALIFICATIONS:

• High School diploma or GED required.
• Proficient in data entry.
• Familiar with health information software and prior registration] admissions experience preferred.
• Knowledge of insurance verification and eligibility preferred.
• Knowledge of third-party coverage rules and process billing information correctly for each encounter i.e. Medicare, Medicaid, Worker's Compensation, Auto Liability, etc.
• Prior billing experience preferred.
• Excellent customer service skills required. Yup'ik speaking preferred.

ESSENTIAL FUNCTIONS:

• Collects, verifies, and records all required patient information accurately in the EHR, including insurance policy information, while maintaining the departmental accuracy standard of 97%.
• Identifies patients using patient's full name, date of birth and/or medical identification (ID) number for every patient encounter.
• Distributes and collects all department related hospital, state, and federally mandated consents, notifications, and financial forms.
• Explains insurance coverage and authorization requirements to patients prior to medical services.