Patient Access Rep

Ochsner Health•Rush, NY

19h•Onsite

About The Position

This job involves greeting patients and guests, either via telephone or in person, and initiating the scheduling of appointments or completing the check-in/admission process. The role requires obtaining and verifying accurate identification and demographic data for patient medical records to ensure accurate reimbursement, while strictly maintaining patient confidentiality. Key responsibilities include point-of-service collections and face-to-face patient interactions for registration and admission. The Patient Access Rep is also responsible for insurance verification through electronic, telephone, or web applications, and is expected to improve patient satisfaction by representing the company professionally. The position requires cross-training to support multiple functions across all patient and payer types. The individual must be able to perform all essential duties satisfactorily, and reasonable accommodations may be made for qualified individuals with disabilities.

Requirements

High school diploma or equivalent
Minimum of 1 year of experience in a hospital, clinic, medical office, business services/revenue cycle, or other customer service-related environment.
Experience may include front line registration, financial counseling, banking, retail, or similar roles involving direct customer or patient interaction.
Must have computer skills and dexterity required for data entry and retrieval of information.
Effective verbal and written communication skills and the ability to present information clearly and professionally.
Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
Strong interpersonal skills.
Must have clerical skills and exhibit technical knowledge of healthcare insurance benefits, various payor guidelines on referral and authorization processes as well as have current knowledge of Federal, State and Local billing regulations.
Skills to effectively present information and respond to questions from patients and customers, with proficiency.
Skills to solve practical problems and deal with high stress situations while maintaining a high quality of professionalism.
Good organizational, time management, and conflict resolution skills.
Excellent decision making skills; good analytical skills with a strong attention to detail are necessary.
Ability to work collaboratively with other departments.
Ability to exercise sound judgment in handling/escalating difficult situations.

Nice To Haves

Associate’s degree
Certification in Healthcare Access Manager (CHAM)
Certification in Healthcare Access Associate (CHAA)
Certification as a Medical Assistant (or other medical specialty-based certification)

Responsibilities

Provide excellent customer service to all patients, guests, and family members.
Create, activate, and complete the patient scheduling, clinic registration, or hospital admission process.
Ensures all required forms are completed and other paperwork/documents are gathered and accurate.
Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information; explains insurance benefits and collects co-pays, deductibles and self-pay portions due.
Performs financial analysis of each case and informs patient of financial responsibility.
Balances Cash drawer daily, prepares deposit slips and follow closing cash drawer process at the end of each shift.
Demonstrates respect and cooperation in all staff relationships, and a genuine willingness to prevent or resolve inter-personal conflicts.
Adapts behavior to the specific patient population, including but not limited to: respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
Other related duties as required.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.