Lead Patient Access Representative - Admitting

Avera•Sioux Center, IA

2d•Onsite

About The Position

The Lead Patient Access Representative is responsible for reviewing and editing patient accounts to correct and reduce errors and to ensure timely processing of claims. This position requires independent judgment and a working knowledge of department procedures related to work performed in order to contribute to the efficient operation of the department. Sioux Center Health has served patients with Jesus’ healing ministry for over 70 years, with eight locations in Sioux Center, Iowa and surrounding communities. They pride themselves on providing superior care in state-of-the-art facilities and have nurtured an exceptional culture driven by a strong mission and great people. Working at Sioux Center Health means making a real difference in the lives of community members, and their talents and passions are truly appreciated. The organization supports the community through sponsored programs, events, and volunteer work. Sioux Center Health has been recognized as a Top Workplace in Iowa, received Best of the Northwest honors, earned a Five-Star Patient Survey Rating from CMS, and been recognized as a Chartis Top 100 Critical Access Hospital and Top Hospital in Iowa. The Care Center has received the LeadingAge Excellence in Workplace Award. Sioux County itself was ranked #4 in the nation among the Healthiest Communities by U.S. News & World Report and CVS Health.

Requirements

High school diploma or general education degree (GED); or one or more years of related experience and/or training; or equivalent combination of education and experience preferred.
Must be able to maintain strict confidentiality of patient information.
Must be willing and able to perform under the pressure associated with various situations.

Nice To Haves

Bi-lingual experience preferred but not required.

Responsibilities

Answers incoming email requests from various areas throughout the hospital to make edits to patient accounts.
Answer incoming overflow calls, screening as necessary and transferring appropriately.
Greets and directs employees, visitors, patients, business representatives and the general public arriving at the facility.
Provides general information regarding the facility and department functions and procedures.
Run and follow-up on reports assigned by coordinator or manager.
Meditech Account Checks follow-up.
Returned mail fixes and tracking.
Review denials report and look into accounts for follow-up.
Communicates with team members throughout various areas within the facility; use of telephone, mobile communication, computer and other office related equipment for this purpose.
Operates overhead page system.
Processes daily patient admissions and patient transfers within the facility, interviews patients or relatives regarding personal and insurance information; instructs patients and relatives of related policies and procedures; records and types patient and insurance information and obtains appropriate signature.
Ensures all the necessary consents and HIPAA forms are signed and completed.
Must be able to maintain strict confidentiality of patient information.
Preparation of future work for next day’s patient schedules. This may include pre-registration, insurance eligibility checks, gathering of appropriate forms for privacy, consent and signature and reminder phone calls.
Processes documents of straightforward nature requiring somewhat expanded knowledge of procedures; check documents for accuracy and completeness of specific entries; maintains files and records of documents processed for ready access; records data onto documents according to standard procedures related to work performed.
Notifies nursing staff of patient arrival and routes patient to waiting, testing or therapy areas as necessary; if the patient is to be admitted, notifies nursing staff of patient’s arrival and finds an escort for patient to the appropriate area.
Must be willing and able to perform under the pressure associated with various situations.
Performs other duties and responsibilities as assigned.