Patient Access Rep I - Hospital

Northern Inyo Healthcare District•Bishop, CA

2d•Onsite

About The Position

The Patient Access Representative performs registrations of inpatient/outpatient visits including patient interviews, signing of forms, scanning of documents and routing of patients. They also schedule inpatient/outpatient visits for various departments, verify insurance eligibility and benefits, and obtain authorizations for procedures as applicable. Other duties may be assigned by the Patient Access Manager, Director of Patient Access, or their designee.

Requirements

High School diploma or equivalency.
Perform work tasks under variable pressures.
Work in a multi-task environment and accept interruptions while performing duties.
Problem solve and analyze in the work environment.
Communicate regularly and effectively, both verbally and in writing with department leadership, NIHD staff and the public.
Develop flexible and efficient time management and prioritization.
Establish and maintain professional working relationships with NIHD staff at all levels as well as the public.
Develop and maintain a high degree of maturity, integrity, and good judgement.
Knowledge of modern office equipment and computer programs.
Knowledge of NIHD Patient Access department practices and procedures.
Knowledge of conflict resolution practices.
Knowledge of the Mission, Vision, and Values of Northern Inyo Healthcare District.
Knowledge of NIHD policies and procedures, including Compliance Program, Code of Conduct, and Confidentiality standards.
Knowledge of NIHD safety policies and procedures, including the Rainbow Chart, Employee Health, and Infection Prevention standards.

Nice To Haves

Prior experience with Cerner or other EHR systems
High volume customer service experience
Experience with multiline phones
Receptionist/clerical experience
Bilingual (Spanish)

Responsibilities

Perform registrations of inpatient/outpatient visits including patient interviews, signing of forms, scanning of documents and routing of patients.
Schedule inpatient/outpatient visits for a variety of departments.
Verify insurance eligibility and benefits, and obtain authorizations for procedures as applicable.
Receive and interview incoming patients or relatives to obtain or update demographic, guarantor, emergency contact, Primary Care Physician, and insurance information.
Obtain financial information and insurance signatures for department patients and discuss patient financial responsibility.
Obtain/Scan insurance card(s) and valid photo ID.
Call patients for appointment confirmation and pre-register all upcoming outpatient appointments, preparing the account for the visit.
Verify patient demographics, emergency contact, patient’s ID and most current Insurance cards are scanned, including verifying patient’s Eligibility of insurance, including Work Comp information.
Provide prompt, courteous reception and processing of all patients presenting for treatment or referrals.
Schedule, register, and check in patient visits according to department standards to allow for smooth patient flow and decreased waiting time.
Pre-register patient visits as time allows.
Scan pertinent documents into the EMR including photo ID, insurance cards, authorization documents, physician orders, and the COA, Race Identification Form.
Collect payments for outpatient services including all cash patients, giving discounts when appropriate; and collect ALL co-payments before the patient is seen.
Balance cash drawer at end of shift.
Collect additional data for Medicare, Medicade/MediCal, and the Department of Health Services as required.
Input all information into the HIS, obtaining necessary signatures required for the patient on the initial visit such as consent for treatment, and insurance forms.
Run eligibility check for all Medicaid coverage at the time of pre-registration and verify/update the accuracy of the insurance plan code.
Rerun the eligibility check on the date of service prior to the patient’s arrival to verify the coverage has not changed, and scan POS into encounter.
Verify that accident information is entered as required for all visits pertaining to an accident/injury.
Collect other accident information (other than Worker’s Compensation claims) when applicable.
Obtain Workers’ Compensation claims information and all information needed to complete a Dr’s First Report, including claim number if available, ensuring Work Comp information has been entered correctly.
Answer multi-line phone in a courteous manner, taking messages for providers and other staff accurately.
Admit the visit ensuring the COA has been signed at each visit and ensure signing of NOPP for new patients.
Provide patients with copies of signed documents.
Ensure that patients paperwork is accurate and completed, including re-signing consent and insurance forms yearly.
Notify the receiving department of the patients arrival and route all pertinent paperwork, armbands or labels as required by the receiving department.
Maintain flexibility in shift schedule which may vary or change to meet the needs of the hospital.
Adhere to the policies and procedures and guideline of the hospital and department, representing the hospital in a professional manner.
Report unusual or abnormal activity to the appropriate person or department.
Ensure confidentiality of patient information.
If stationed in Diagnostic Imaging, may assist in scheduling modalities with knowledge and understanding of proper prep instructions and must learn to navigate Imaging Department systems, will be able to schedule labs, find off site orders. Pre-register and verify insurance eligibility and authorization as necessary.
If stationed in the Rehabilitation Office, may assist in scheduling appointments with knowledge of department services and systems, and will prepare, update, and fill out all department and patient forms. Pre-register and verify insurance eligibility and authorization as necessary.
If stationed in Central Registration, will be able to schedule labs, find off site orders, pre-register, check in and verify all out patient nursing services, dietary and perinatal accounts. Pre-register and verify insurance eligibility and authorization as necessary.
May assist in training new staff on the processes, workflows and functions of this position.
May cross-train to other registration areas in the inpatient/outpatient setting.
May perform other duties within Patient Access as requested, including those in other Patient Access areas which could be outside the normally scheduled shift of this position.
Perform other duties as assigned.