Patient Access Rep I

Finger Lakes Health•City of Geneva, NY

18h

About The Position

Under the direction and supervision of the Patient Registration Manager and in accordance with Hospital and Patient Registration Department policies and procedures, this role registers outpatients, admits, discharges, and transfers patients to all levels of care within the Finger Lakes Health system. The position involves interviewing all patients, processing pertinent demographic and financial information, verifying insurance coverage, and determining and facilitating necessary authorizations and pre-certifications. The role requires knowledge of and adherence to all Finger Lakes Health and Patient Registration department policies and procedures, as well as industry-wide regulations.

Requirements

High School or equivalent.
Previous business office or retail experience.
Demonstrated ability to handle confidential information with discretion.
Ability to deal with the public in a professional and courteous manner.
Ability to meet deadlines, manage multiple priorities and enhance the spirit of teamwork through effective role modeling.
Excellent interpersonal, communication (written and oral) and organizational skills.
Computer literacy.

Nice To Haves

AAS degree in Medical Assistant/Secretarial Science or experience in business with emphasis on health care or related field.
Medical Terminology.
One year related hospital, business, or physician office experience.
Experience with Microsoft Office products including word, excel and power point.

Responsibilities

Represents the health system in a customer friendly and professional manner, facilitating patient access to care/services provided by FLH.
Obtains, verifies, and updates patient demographic/insurance/medical information and enters data accurately into the facility's computer system.
Determines and collects all applicable co-payments, patient payments, and deposits. Processes cash receipts and balances cash drawer.
Interviews patient and adheres to all policies and procedures for ensuring positive patient identification and preventing identify theft.
Accurately completes the required Medicare Secondary Payer questionnaire on all Medicare patients processed, to determine all possible insurance coverage and primary payer.
Enters diagnostic information to facility's computer system with no variation from the physician order forms.
Remains mindful of the impact that data accuracy has on other departments, the patient’s account/electronic medical record, and patient/customer satisfaction.
Possesses a thorough knowledge of Registration Representative's role in disaster situations.
Stays knowledgeable and adheres to all industry wide regulations (Federal, State, JCAHO, HIPAA, Payer regulations, etc.) as they pertain to patient registration functions.
Is knowledgeable of regulatory agencies functions (monitoring, surveying, reporting, etc.) and applications in patient registration.
For patients/guarantors not previously completely processed by PSR, determines the appropriate party responsible to make health care and financial decisions related to the patient's care.
Adheres to all facility and department policies and procedures for providing required patient information.
Explains forms and obtains signatures from the patient/responsible party for: Payment agreement, Assignment of benefits, Medicare patient agreement, Release of information, Coordination of benefits, Personal property statement, Patients’ Bill of Rights, An Important Message from Medicare, Privacy Notice, and Medicare Advance Beneficiary Notice.
Understands the Medicare Fraud and Abuse guidelines and penalties for submitting false claims and for improper coding.