Patient Access Representative I

University of Maryland Medical System•Towson, MD

3d•$17 - $21•Onsite

About The Position

Under general supervision, the Patient Access Representative I performs scheduling, registration, pre-admission processing, wayfinding, and other administrative duties while following department standards for data entry and patient selection. Duties may also include verifying insurance eligibility, obtaining insurance pre-certifications and authorizations, and creating or finalizing cost estimates. The role works with care teams and revenue cycle staff to identify and address barriers to access, reimbursement, and affordable care. It provides patients and families with information about financial clearance, estimated service costs, and financial assistance. The representative performs administrative and Admission, Discharge and Transfer (ADT) functions in multiple clinics and registration areas. This is a part-time evening position at University of Maryland St. Joseph Medical Center in Towson, Maryland, scheduled Saturdays and Sundays from 3:00 p.m. to 11:30 p.m. every other weekend. The employee must be available during daytime hours for the first full week of training.

Requirements

High school diploma or State High School Equivalency Certificate (GED).
At least 1 year of work experience in a clerical, customer service, or receptionist position; healthcare experience is preferred.
Availability for the first full week of training during daytime hours.
Ability to work the stated part-time evening schedule: Saturdays and Sundays, 3:00 p.m. to 11:30 p.m., every other weekend.

Nice To Haves

Two years of work experience preferred.
Certification or membership in a local organization such as AAHAM or NAHAM preferred.
Experience in a healthcare setting preferred.

Responsibilities

Serves as the first point of contact for patients and visitors and provides customer service in Patient Access/Patient Administrative Services areas.
Collects and verifies patient and insurance demographic information and checks insurance benefits and coverage using Epic.
Provides cost estimates, secures pre-certifications or pre-notifications, collects co-pays and deposits before services, and provides information about financial assistance.
Provides wayfinding to clinics where Patient Administrative Services provides registration assistance.
Maintains knowledge of regulatory and functional registration requirements, obtains required signatures, and performs clerical duties as needed.
Educates patients about insurance coverage and applicable hospital and physician billing requirements and procedures.
Communicates coverage issues to service areas and works with patients and staff to resolve them.
Ensures admission paperwork is accurate and complete, contacts physician or clinical staff regarding incomplete registration paperwork, and distributes admission documents when required.
Maintains scheduling templates for applicable providers in outpatient locations and supports appropriate scheduling utilization.
Coordinates with Care Management and Social Work to ensure required reimbursement information is obtained and pre-admission and pre-certification requirements are followed.
Assists the supervisor in training new Admitting staff by demonstrating department processes and procedures.