The Access Services Representative 2 obtains current and accurate demographics and insurance information in order to register patient, verification of insurance benefits, negotiates and collects patient financial responsibilities. Actively cross-trains and works in all areas as assigned. Serves as a mentor and / or trainer for peers. ESSENTIAL FUNCTIONS OF THE ROLE Conducts an documents patient interviews to obtain demographic and financial data for registration, insurance verification, precertification and billing. Understands the patient flow processes in each area. Identifies process improvement opportunities that promote team concepts with co-workers while improving revenue cycle functions and the patient experience. Interacts on an ongoing basis with other areas and departments in order to provide appropriate information related to such items as: patient delays, change of schedules Intra-departmentally and Interdepartmentally. Verifies patient eligibility for insurance coverage and appropriate benefit levels for anticipated services. Calculates and collects patient liability due according to financial clearance policies related to existing and/or bad debt accounts. Determines patient liability and advises patient of deposit requirements per policy. Negotiates payment arrangements with patient where necessary per policy. May be responsible for performing cashiering responsibilities according to established policies and procedures; could potentially consume the bulk of the incumbent's responsibilities within the department. Assists patients to nursing units by providing directions, personal escort, and/or medical mobility assistance (ex; wheelchairs), when applicable. Appropriately escalates potential service issues to management when necessary. Adheres to compliance with regard to order validation, cash policy requirements, government payor requirements and patient safety requirements for appropriate patient identification Conducts formal, documented training and serves as a resource to others. Proactively accepts new responsibilities as identified by leadership. Performs revenue cycle duties at multiple areas / locations as assigned.
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Job Type
Full-time
Career Level
Entry Level
Industry
Hospitals
Education Level
High school or GED
Number of Employees
5,001-10,000 employees