BMH Patient Access Representative - FT

Bronson Healthcare

84d

About The Position

The BMH Patient Access Representative is instrumental in ensuring the efficient and effective flow of patient access needs throughout the organization. Responsibilities may include greeting and registering patients, gathering and entering appropriate demographic and insurance/billing information, verification, scheduling appointments, providing patients with financial information, price estimates, and the collection and entry of payments. Current knowledge of billing and coding requirements and the ability to apply these based on industry standards is required. Ability to resolve patient financial issues and negotiate payment arrangements. Representatives must fully understand the ramifications and impact of incomplete or inaccurate information to patient care and the overall revenue cycle. The position works in a team environment and delivers exceptional customer service. Employees providing direct patient care must demonstrate competencies specific to the population served. Patient Representatives assigned to an Emergency Department team will be placed into a weekend standby rotation based on facility. This standby rotation begins Friday at 7pm to Monday at 7am and could occur from two to no more than six times a year.

Requirements

• High school diploma or general education degree (GED) required.
• Previous customer service experience required.
• Knowledge of billing and coding requirements.
• Ability to resolve patient financial issues and negotiate payment arrangements.
• Knowledge of HIPAA and confidentiality requirements.
• Knowledge of insurance payer regulations and requirements.
• Knowledge of revenue cycle components and their impact on the overall process.
• Analytical skills to solve simple to semi-complex problems.
• Organization, prioritization, and time management skills.
• Ability to multi-task and maintain composure under pressure.
• Basic typing at 45 WPM, basic ten key, and computer skills within a Windows environment.
• Experience with multiple computer applications/operating systems, and office machines.

Nice To Haves

• Medical Terminology, CPT and ICD-10 coding strongly preferred.

Responsibilities

• Greeting and registering patients accurately and efficiently.
• Gathering and entering appropriate demographic and insurance/billing information.
• Verifying insurance eligibility using online systems.
• Providing and/or completing required patient forms.
• Collecting and entering payments, following required balancing procedures.
• Analyzing, interpreting, and entering physician orders.
• Scanning and indexing forms.
• Scheduling and communicating appointment information accurately and efficiently for multiple facilities and ancillary departments.
• Verifying insurance for scheduled and urgent emergent patients following guidelines established per payer and obtaining authorization based on payer specific criteria.
• Accurately completing assigned work queues.
• Identifying financial counseling needs.
• Maintaining confidentiality in verbal, written, and electronic communication.
• Following established processes, protocols, and workflows.
• Taking initiative to resolve problems and meet patient needs.

Benefits

• Community-owned, not-for-profit health system.
• Largest employer and leading healthcare system in southwest Michigan.
• State-of-the-art technology and evidence-based processes.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees