Patient Access Representative

Requirements

• Must have a high school diploma, GED, or equivalent.
• Six months to one year experience with customer relations required
• Knowledge of basic office procedures/equipment and computer systems required
• Familiarization with medical terminology and prior health care experience preferred
• ​Certification in Basic Life Support (BLS) preferred.

Work Hours

Job Summary

The primary responsibilities of the Patient Access Representative are to arrange for efficient and orderly registration of Emergency, Inpatients and Outpatients.  A patient access representative ensures that accurate patient information is collected and that patients are aware of hospital policies and procedures. These duties will be performed in a “Customer oriented” professional manner.

Essential Job Functions and Responsibilities

This list of duties and responsibilities is not all inclusive and may be expanded to include other duties and responsibilities as management may deem necessary from time to time.

1. Registers patients for services performed at Southwest Health.
   1. Ensures patient records are up-to-date: demographics, employer, and emergency contacts
   2. Scans all necessary paperwork into system (face sheet, insurance card, patients’ order, Driver’s License, and any other signed documentation)
   3. Gathers necessary patient information including outpatient physician orders, diagnosis, emergency notification numbers, and insurance information
2. Obtains necessary signatures on registration related documents.
3. Verifies insurance eligibility and benefits.
4. Obtains Medicaid eligibility from the online Forward Health program and changes the patients account accordingly.
5. Processes Medicare patients through the designated electronic verification program to obtain medical necessity for scheduled procedures.
6. Collects/requests out-of-pocket liabilities from patients upfront and applies, adjusts, and reconciles daily point-of-service cash reports. Refers patient accounts to financial counselors when further explanation/education is needed regarding denied authorizations, out-of-pocket liabilities, coverage options, or payment plans.
7. Cross-trains and is well versed in a minimum of three areas of patient access.
8. Obtains signature from patient on Advance Beneficiary Notice (ABN) if the procedure didn’t pass medical necessity.
9. Exhibits professionalism in appearance, speech, and conduct. Ensures that services are provided in accordance with state and federal regulations.
10. Adheres to Southwest Health’s value-based behavior standards.
11. Understands and adheres to Southwest Health compliance and HIPAA standards as they appear in the Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy.
12. Performs other duties and responsibilities as requested or required.

Contact Information

Southwest Health
Attn: Human Resources
1400 Eastside Rd
Platteville, WI 53818
Phone: (608) 342-0998
Email: 

hr@southwesthealth.org?subject=Open%20Opportunities%20Inquiry

Fax: (608) 342-5015

Benefits

Southwest Health is truly an outstanding place to work. A full benefit package is available for employees working 20 hours/week or greater which includes: Health, Dental, Vision and Life insurance. Also available are long and short term disability, cell phone discount, flexible spending plan, paid time off, retirement plan with an employer contribution, fitness membership discount as well as use of exercise equipment at the facility.