Patient Access Rep
What You Will Do:POSITION SUMMARY Under regular supervision performs all outpatient and inpatient registration functions including hospital point of service collections, electronic patient bed management responsibilities and insurance verification. Process patients through the registration functions as quickly as possible while collecting complete and accurate personal, clinical and financial information. Provides general information to hospital users, patients and families. Communicates effectively to service delivery areas to maximize patient flow and customer service. The following job description covers the most significant duties performed, but does not exclude other work assignments not mentioned PRIMARY RESPONSIBILITIES Principal Duties: * Performs accurate and complete Registration/Preregistrations and & Admissions to provide information which will maximize reimbursement, achieve collection rations and meet Account Receivable goals and provide timely and thorough information to all other providers & customers that utilize the patient data. * Interview patients face-to-face or by phone to obtain registration information (prior to service/point of service). * Obtain interpretive services to provide communications for hearing impaired or when there is a language barrier preventing completion of the registration process. * Ensures that financial protocols and requirements are met while providing caring access to service at UM CAP. * Contact insurance companies for patient benefits and authorization approval for patient care. * Completes departmental intake forms and shift/day end reports fully and accurately. * Minimizes 3rdparty payer denials by verifying authorization of service prior to forwarding patients to service delivery areas. * Obtains patient signatures on Consent forms, HIPAA, Observation Notice, Insurance Waiver, Important Message from Medicare and other important forms as required within the Hospital's policies. * Performs departmental administrative functions as required. Answers all incoming telephone calls according to departmental telephone standards. * Document on line admission or other patient service dates to initiate payer and hospital utilization review process. * When necessary, pursue actual approval and authorization number from the insurance based upon diagnosis, service and contract coverage. * Maintains current knowledge of insurance requirements and an understanding of the changing demands of federal regulations and organizational requirements, UMCAP/PAS policies and procedures, JointWhat You Need to Be Successful:POSITION REQUIREMENTS: Licensure/Certification/Registration Required: Not Applicable. Preferred: Other: Life Support Certification: (Check all that apply) Basic Life Support - Health Care Provider (BLS-HCP) Advanced Cardiac Life Support (ACLS) Pediatric Advanced Life Support (PALS) Neonatal Resuscitation Program (NRP) Education/Knowledge (see attached explanation sheet) Attained Level: High School or Equivalent Preferred: Some college level course work Completed Course Work/Program: Business, healthcare administration, social work, or related. Applicable Experience Experience (years): Required: One year Preferred: Two or more Experience (describe required & preferred): One year of experience providing direct customer service. A hospital setting is preferred. 5 * Must be able to type 25 WPM and pass clerical exam. * Ability to speak read and write in English fluently, a secondary language is a plus. * Must have strong verbal and written communication skills. * Medical Terminology preferred. * Ability to adapt to technical upgrades and changes throughout the hospital system. * Ability to work independently, and take initiative in executing work task * Ability to work cooperatively with all types of personalities inside and outside the organization * Readily accepts responsibilities for one's own actions and behaviors * Serves as an effective resource and acts as a member of the team in a supportive manner. Shows willingness to offer or request assistance when needed. * Good interpersonal skills with ability to work and communicate (verbally and written) with all levelsof hospital personnel, including physicians, clinicians, and all customers * The position requires continuous training to upgrade skill set to support transformation and sustainability. Technical/Clinical Skills Microsoft Office Suite Skill Level We are an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.