Patient Access Representative 1

Riverside Health System•Hampton, VA

1d•Onsite

About The Position

The Patient Access Representative 1 position requires the ability to demonstrate the knowledge and skills necessary to clerically support Patient Accounting and Admissions. This role is responsible for executing all policies and procedures related to the registration, insurance verification, and documentation of patients presenting to Admissions, as well as completing functions essential for patient admission to units and providing general clerical support. The representative must effectively utilize department computer systems for daily work activities, assist the Manager with special projects, and ensure adherence to established policies and procedures. The position also involves assisting in the organization and review of activities that support patient care delivery, specifically concerning patient inquiries, registration, insurance verification, and documentation of patient demographic information. The individual must be capable of working under changing conditions and with interruptions. There may be a requirement to work in other areas based on department and facility needs. The Patient Access Representative operates under the supervision of the supervisor and ED Manager.

Requirements

High School Diploma or GED
CPR/BLS Certification - American Heart Association/American Red Cross/American Safety and Health Institute (AHA/ARC) within 30 Days
First Aid - American Heart Association/American Red Cross/American Safety and Health Institute (AHA/ARC) within 30 Days

Nice To Haves

2 years Medical Clerical
2 years Behavioral Health Care

Responsibilities

Demonstrates excellent customer service in person or via telephone through answering incoming call or walk in requests for referral for assessment and/or admission to the hospital for psychiatric and/or chemical dependency treatment.
Completes pre-admission and admission data as part of comprehensive admission process including intake and EMTALA/patient tracker logs used as part of maintaining documentation of patient visits and minimal wait times to ensure patient safety and comfort.
Works with patients, referral sources, and law enforcement to ensure all required documentation is signed and completed as part of the patient’s medical record.
Serves as an initial contact for patients, families, referral sources, and/or allied agencies seeking intervention or support.
Greets persons upon arrival.
Supports in supervision and comfort of persons.
Completes thorough and timely insurance verifications, pre-certifications and authorizations to ensure reimbursement from carriers to Riverside Health System for delivered services. This includes TDO processing of paperwork and communication HPR5 community resource.
Completes valuables and contraband search documentation as part of preparing patients for admission to unit.
Identifies process improvement opportunities related to efficiency, appropriateness, productivity and/or coordination of activities/services with other departments and personnel. This includes ordering of office supplies and maintains inventory.
Closely observes patient behavior and condition while maintaining a safe and clean environment following hospital and unit policies and procedures to include safety rounds and safety checks.
Consistently demonstrates ability to assess and facilitate/coordinate patient transports and Riverside Health System initiatives with focus to maintain safe practices with the coordination and planning for patient transports.
Provides assistance for multiple RHS service lines.