Patient Access Rep.

Hospital for Special Care•New Britain, CT

8d•Onsite

About The Position

Responsible for the smooth operations of all front desk/reception area functions as well as other administrative/clerical duties. Pre-admission and admission of all hospital outpatients, ensuring the adequate financial backing. Responsible for accurate and timely preparation and submission of all assigned patient accounts, including charge entry. Performs ongoing analysis of accounts to determine continuation of eligibility of benefits and implements appropriate appeals, coordination of benefits, adjustments, and re-authorizations.

Requirements

High School Diploma
Excellent communication, organizational and interpersonal skills
Ability to manage multiple priorities
Familiarity with medical terminology
Professional demeanor and appearance as well as compassionate and patient

Nice To Haves

Associate degree
Knowledge of third-party insurers
Two years hospital or medical business office experience, or comparable experience with third party or collection agency
Proficiency in Microsoft Office and electronic scheduling & registration systems

Responsibilities

Responsible for assigned registration desk operations.
Greets and receives patients and/or visitors, collects copies of insurance information, maintains all patient demographic records, and provides patient orientation regarding hospital/department policies and procedures.
Clinics/recurs/admits correct account for services to be rendered.
Ensure follow-up appointments are scheduled timely.
Perform ongoing analysis of scheduled visits/accounts to determine continuation of eligibility of benefits.
Collects co-pays as needed and balances end of day cash.
Manage, direct and respond to incoming office correspondence as deemed appropriate, including mail, email, faxes and telephone calls and forwards queries to the appropriate staff.
Utilizes office correspondence software as appropriate; Outlook, Mxie, TigerConnect.
Ensures any patient related paper documents are scanned into the electronic medical record.
Maintain solid working knowledge of insurance coverage, benefits and authorizations, Medicare Secondary Payer (MSP) questionnaire and how to log responses, Advanced Beneficiary Notices (ABN) and Memos of Understanding (MOU’s).
Responsible for providing estimates of Outpatient services when needed.
Communicate benefit information to patients.
Collaborates with outpatient authorization team when needed.
Communicates schedule changes timely to appropriate team members.
Cancels/reschedules/no shows patients with appropriate reason codes.
Is familiar with coordinating schedules with various vendors and equipment when prompted by provider.
Process incoming referrals by calling patients to make appointments within 24-48 hours, complete pre-registration, forward intake paperwork and prepare estimates.
Collaborates with Team Leads, Office Coordinators and Administrative Assistants if necessary.
Communicate hospital initiatives and policies such as Follow My Health (patient portal), Connie (statewide health information exchange), Financial Assistance and Release of Information processes to patients as requested.
Keeps a neat and orderly workspace.
Can securely open up and close up office at the start or end of business day.
Is familiar with all stations within the role and can effectively cover and cross train.
Participates in the training and workflow coordination of other outpatient members or support staff.
Provides other regular support as designated by Outpatient Access Manager.