Patient Access Rep II

Ridgeview Medical Center • Chaska, MN

395d

About The Position

This position is responsible for the complete and accurate pre-registration and registration of various patient types, including inpatient admissions, outpatient services, emergency services, and same-day surgeries at multiple locations. The role involves efficiently registering patients, verifying insurance eligibility, collecting financial obligations, and ensuring compliance with necessary documentation and disclosures.

Requirements

• High school graduate or equivalent.
• 1-2 years previous healthcare experience.
• Familiar with medical terminology.
• Strong customer service experience.
• Ability to effectively handle a high-stress fast-paced environment.
• Ability to meet and maintain necessary background checks aligned with position functions.
• Ability to communicate in English for effective written and verbal correspondence.
• Ability to multi-task and have high attention to detail.
• Ability to perform basic math functions and count money.
• Knowledge of basic computer functions and Microsoft Office applications.
• Ability to work autonomously and as a team.
• Ability to respond appropriately to unpredictable situations and diverse patient populations.
• Capable of making independent decisions using strong critical thinking and problem-solving skills.

Nice To Haves

• Post-secondary education in a related field.
• Bilingual

Responsibilities

• Efficiently registers patients in person or via phone, capturing and verifying all required information.
• Assigns the appropriate Guarantor for each patient.
• Ensures patients receive necessary disclosures, privacy information, and signs the Consent to Treat documentation.
• Verifies insurance eligibility and benefit information using real-time eligibility.
• Reviews the insurer's response to each verification request and takes appropriate action.
• Completes the MSQ for patients with Medicare.
• Collects financial obligations from patients and provides financial counseling or estimates when appropriate.
• Reconciles and performs end-of-day cashier duties.
• Works with internal staff and third-party payers to obtain necessary registration information.
• Initiates treatment authorization requests and pursues referrals per payer guidelines.
• Works with clinical staff to determine likely ICD-10, DRG, and/or CPT Codes.
• Ensures Inpatient Notification process to third-party payers is completed within established time frames.
• Assists and refers internal and external customers to proper resources for questions.
• Provides professional and courteous customer service to internal and external customers.
• Adheres to strict confidentiality when handling patient information.
• Meets established quality and productivity standards/requirements.
• Performs other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Industry: Hospitals
• Education Level: High school or GED