Patient Access Representative Senior – Emergency Department

Patient Access Representative Senior – Emergency Department

Requirements

• High School Diploma or Equivalent (GED) – (Required)
• Minimum of 2 years – Related work experience (Required)
• Clerical I
• Office Politics And Confidentiality

Responsibilities

• Responsible for checking patients in for appointments and accurately verifying demographics.
• Assures all check-in procedures are completed and monitors patient wait times, communicating changes to the patient as necessary.
• Reads and interprets insurance responses.
• Understands general guidelines and insurance rank requirement to properly assign primary, secondary, and tertiary insurance per encounter.
• Communicates the purpose of all necessary disclosures, privacy information and all regulatory forms with the patient as well as obtains necessary legal and financial signatures.
• Notifies patient or guarantor of anticipated financial responsibility including copays, deductibles, or coinsurances and collects accordingly.
• Completes patient’s visit by scheduling any necessary follow up appointments to include any specialty or ancillary services as possible.
• Performs cash posting following department guidelines.
• Abides by organizational, EMTALA and HIPAA guidelines, privacy practices, patient confidentiality, and patient rights.
• Independently works work queues to ensure timely resolution of all accounts.
• Must maintain high regard for confidentiality.
• Processes multi-channel messages related to patient and/or physician requests regarding appointments, referrals, prescriptions, and complaints.
• Accurately performs medical record maintenance and releases.
• Assists with referrals and pre-certifications, at the time of encounter.
• Properly utilizes and maintains patient recall and reschedule lists.
• Maintain productivity and quality performance expectations.
• Attends regular developmental training and communicates regular updates to the clerical/Patient Access team.
• Assists in training and mentoring all staff members, utilizing established guidelines.
• As a senior member of the access team, is a role model for all staff members.
• Cross trains to be able to function in multiple locations within facility.

Preferred Qualifications

No preferred qualifications provided.