Patient Access Rep II

Emory • Stockbridge, GA

1d • Onsite

About The Position

A Patient Access Rep II will assist in the coordination, prioritization and completion of front-end patient registration activities ranging from pre-registration through discharge in the Patient Access Services Department. The representative will ensure patient insurance verification is accomplished and all requirements are met. Accurately completes patient registrations based on departmental protocols and standards, policies and procedures, and compliance with regulatory agencies. Calls patients to pre-register or confirm appointments. A Patient Access Rep II prioritizes work for optimal reimbursement and to avoid financial risk to both patient and hospital. Ensures all insurance requirements are met prior to or on the date of service and informs patients of their financial liability and collects liability due. Identifies patients who require early financial counseling intervention. Ensures all uninsured patients are referred to a financial counselor as appropriate. A Patient Access Rep II will also assist patients, guarantors and families with insurance questions in a professional manner and is responsible for escalating any unaddressed insurance benefit concerns to the department Financial Counselor. Maintains confidentiality of patient information, employee information and other information covered by regulations or professional ethics. Performs duties in support of the EHC Patient Access Mission Statement. Position requires self-motivated individual with demonstrated ability in time management who can handle high patient volumes and fast pace. Maintains thorough understanding of insurance, registration, scheduling, referrals, authorizations, and account follow-up. Maintains knowledge of multiple department system applications utilized by Patient Access. Familiar with and adheres to all state and federal regulations such as EMTALA, CMS, HIPAA, and JCAHO guidelines. Effectively communicates identified issues and concerns in a constructive and professional manner. Participates in generating ideas and solutions for improvements. Responds in a timely and appropriate way to verbal and written requests. Accurately searches the database to establish if patient is new or an established patient. Obtains required signature for release of information in a timely manner, adhering to policy and procedures. Completes registration by verification of information and insurance for established patient or entering information for new patient prior to discharge of patient. Reconfirms date of birth and legal spelling of the patients name. Obtains appropriate signature(s) and scans all appropriate documents (Admission/Registration Agreement, Notice of Privacy Practice, and Important Message from Medicare, etc.). Scans patient id and insurance cards. Makes every attempt to collect patient liability as appropriate and documents the response if not collected. Appropriately distributes registration paperwork according to departmental procedures. Schedules procedures/follow-up appointments. Communicates hospitals financial policies to all patients. Call patients to pre-register or confirm appointments. Maintains appropriate monthly assurance accuracy rate as determined by the department. Maintains established departmental standards regarding productivity, quality, and collections.

Requirements

• High school diploma or equivalent.
• At least 2 years healthcare related or customer service experience.
• Typing skills with a minimum of 35 wpm.
• Good communication skills.

Nice To Haves

• Knowledge of Medicare, Medicaid, and other commercial payers (HMO, PPO) preferred.
• Associate or bachelor degree may be accepted in lieu of experience.
• Certified Healthcare Access Associate (CHAA) preferred.

Responsibilities

• Assist in the coordination, prioritization and completion of front-end patient registration activities.
• Ensure patient insurance verification is accomplished and all requirements are met.
• Accurately complete patient registrations based on departmental protocols and standards, policies and procedures, and compliance with regulatory agencies.
• Call patients to pre-register or confirm appointments.
• Prioritize work for optimal reimbursement and to avoid financial risk to both patient and hospital.
• Ensure all insurance requirements are met prior to or on the date of service and inform patients of their financial liability and collect liability due.
• Identify patients who require early financial counseling intervention.
• Ensure all uninsured patients are referred to a financial counselor as appropriate.
• Assist patients, guarantors and families with insurance questions in a professional manner.
• Escalate any unaddressed insurance benefit concerns to the department Financial Counselor.
• Maintain confidentiality of patient information, employee information and other information covered by regulations or professional ethics.
• Perform duties in support of the EHC Patient Access Mission Statement.
• Maintain thorough understanding of insurance, registration, scheduling, referrals, authorizations, and account follow-up.
• Maintain knowledge of multiple department system applications utilized by Patient Access.
• Adhere to all state and federal regulations such as EMTALA, CMS, HIPAA, and JCAHO guidelines.
• Effectively communicate identified issues and concerns in a constructive and professional manner.
• Participate in generating ideas and solutions for improvements.
• Respond in a timely and appropriate way to verbal and written requests.
• Accurately search the database to establish if patient is new or an established patient.
• Obtain required signature for release of information in a timely manner, adhering to policy and procedures.
• Complete registration by verification of information and insurance for established patient or entering information for new patient prior to discharge of patient.
• Reconfirm date of birth and legal spelling of the patients name.
• Obtain appropriate signature(s) and scan all appropriate documents (Admission/Registration Agreement, Notice of Privacy Practice, and Important Message from Medicare, etc.).
• Scan patient id and insurance cards.
• Make every attempt to collect patient liability as appropriate and document the response if not collected.
• Appropriately distribute registration paperwork according to departmental procedures.
• Schedule procedures/follow-up appointments.
• Communicate hospitals financial policies to all patients.
• Maintain appropriate monthly assurance accuracy rate as determined by the department.
• Maintain established departmental standards regarding productivity, quality, and collections.

Benefits

• Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
• Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED