Patient Access Rep I

Vidant Health•Kenansville, NC

39d

About The Position

Responsible for creating the first impression of the organization's services to patients and families and other external customers. Performs outpatient scheduling, registration for all patients (emergency, ambulatory, and inpatients) and collects proper data, documents, and signatures to ensure hospital bills will be paid by third party payer or the patient. Serves as first point of contact for physician offices and other customers regarding scheduling procedures at ECU Health.

Requirements

High School or Equivalent (GED) or higher is required
2 years Customer Service is required
Excellent communication (both written and oral), detail orientation, organization, and multitasking skills required
Basic computer skills

Nice To Haves

Associate Degree: preferred
Bachelors Degree: preferred
1 to 2 years of Registration and/or Billing experience within a healthcare setting is preferred.

Responsibilities

Interacts with physicians and/or physicians' office staff to secure diagnosis, procedure details or authorization information as needed.
Receives scheduling requests for procedures utilizing Cadence to schedule based on physician orders.
Obtains diagnosis and procedure information from patient, clinical department or physician offices to perform ABN/Medical Necessity screening, as required.
Interviews patients face-to-face or by phone to obtain scheduling and/or registration information.
Handles incoming calls and exercises judgment in scheduling caller for correct procedure in appropriate service area; receives telephone requests to schedule from patients, physicians, physicians' office staff, etc.
Collects complete and accurate demographic, financial, and clinical information to properly enter into the electronic health record to complete a hospital registration.
Provides timely and thorough information to all other providers & customers that utilize the patient data.
Reviews registration account for accuracy to ensure the hospital is properly reimbursed.
Obtains signatures on consent forms, HIPAA, Observation Notice, Important Message from Medicare and other important forms as required within the Hospital's policies.
Explains financial obligations, negotiates deposits and payment arrangements with patients and or guarantors and attempt to collect patient copayments or other uninsured balances on accounts.
Verify insurance benefits using the electronic insurance eligibility application (Passport), internet application or telephone calls to insurance carriers, Obtain authorizations and pre-certification for applicable visits.
Ensures that all required documents including consent forms, precertification documents, benefits information and insurance card copies are scanned into the correct patient EHR.
Cross trained to perform other functions within the division as assigned.
Other duties as assigned.