Patient Access Representative

Job Description Help for Job Description. Opens a new window. Job Description Patient Access Representative Work Hours per

Biweekly Pay Period:

80.00

Shift :

Monday•

Friday Location :

1324

Lakeland Hills Blvd Lakeland, FL Pay Rate :

$16.44

• 18.

91 This position is responsible for the timely and accurate Preregistration/Registration of patients for Outpatient, Inpatient or Emergency services. Gathers all required information during registration, utilizing knowledge of medical insurance to include Managed Care, Medicare, Medicaid, commercial, liability, worker's compensation and other insurances not listed here. Secure precertification and/or authorization when applicable. Maintain patient confidentiality in accordance with the rules and regulations regarding HIPAA. Collect patient/guarantor uninsured amounts as needed. Must be able to interview patients and articulate information in a clear and informative manner to patients, guarantors, family members, clinical staff, physicians and other LRH personnel. Responsibilities People At The Heart Of All That We Do Fosters an inclusive and engaged environment through teamwork and collaboration. Ensures patients and families have the best possible experiences across the continuum of care. Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. Safety And Performance Improvement Behaves in a mindful manner focused on self, patient, visitor, and team safety. Demonstrates accountability and commitment to quality work. Participates actively in process improvement and adoption of standard work. Stewardship Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. Knows and adheres to organizational and department policies and procedures. People At The Heart Of All We Do Fosters an inclusive and engaged environment through teamwork and collaboration. Ensures patients and families have the best possible experiences across the continuum of care. Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. Safety And Performance Improvement Behaves in a mindful manner focused on self, patient, visitor, and team safety. Demonstrates accountability and commitment to quality work. Participates actively in process improvement and adoption of standard work. Stewardship Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. Knows and adheres to organizational and department policies and procedures.

Standard Work Duties:

Patient Access Representative Responsible for performing all registration functions for your assigned area. Using provided tools, employee will be able to accurately complete a Pre-registration, Quick Registration, Complete Registration and Insurance Verification. If applicable, verify accurate MD order, admission status and ensure appropriate documentation is scanned into patient's account. Team members will be required to maintain minimal errors. Obtain all patient demographic information in an effort to submit accurate claim filing. Demographic information includes correct address, contact information, guarantor, and emergency contacts. This information will be entered in the correct format and sequence in the registration Practice Management System(s). Become proficient in the online insurance verification tools and correct any insurance errors before the end of your shift on a daily basis. Ensures accuracy of patient/guarantor payment collections and reconciling payment batches. Accurately review prior account balances and refer to financial services as needed. Assist as needed in the orientation and training of new and tenured patient access staff and serve as a resource to others. Accept delegated responsibilities on assigned shift including coverage of other locations if needed.

Competencies and Skills Essential:

Ability to type 45 WPM Demonstrated knowledge of computer based applications and strong PC/keyboard skills including Outlook, Word and Excel. Ability to compose professional email communication. Demonstrated customer service skills with ability to communicate effectively both written and verbal. Demonstrated organizational skills showing ability to multi task and adapt to high work load volumes. May be asked to travel between Emergency Room sites to accommodate staffing needs.

Nonessential:

Demonstrated knowledge of all of the above in a hospital setting. Demonstrated knowledge of the Revenue Cycle in a hospital setting and how Patient Access affects billing and denials.

Qualification and Experience Essential:

High School or Equivalent Other information:

Experience Essential:

• 2-3 years of experience in a customer service job role.
• Knowledge and interpretation of basic medical terminology.
• Health insurance experience is required.

Experience Preferred:

• Two plus years of experience in a hospital patient admission/registration or physician office patient registration setting with working knowledge of managed care, third party liability, CMS rules and regulations regarding hospital benefits.
• Cash Collection experience.

Certifications Preferred:

• CHAA, CRCP or Medical Terminology