Patient Access Representative I, PRN

University of Maryland Medical System•Baltimore, MD

61d•$17 - $21

About The Position

The Patient Access Representative I, PRN, Rotating position at the University of Maryland Medical Center involves performing a variety of administrative duties including scheduling, registration, pre-admission processing, and wayfinding. This role may also include verifying insurance benefits, completing pre-certifications and authorizations, creating cost estimates, and educating patients and families about the financial clearance process. The representative collaborates with care teams and revenue cycle partners to address barriers to access, reimbursement, and affordable care, and performs assigned administrative and ADT functions across multiple clinics and registration areas.

Requirements

Completion of a high school level education with attainment of a high school diploma or a State High School Equivalency Certificate (GED) is required.
1 year of work experience in a clerical, customer service or receptionist position, preferably in a healthcare setting is required.

Nice To Haves

Certification and memberships to local organizations such as AAHAM, NAHAM, etc. preferred.
2 years’ work experience preferred.

Responsibilities

Serves as the first point of contact for patients and visitors, ensuring a customer-focused and quality-conscious work environment.
Focuses on interpersonal skills, data collection, situation assessment, and developing solutions for excellent customer service and hospital financial viability.
Collects and verifies patient and insurance demographics, verifies insurance benefits and coverage, provides cost estimates, secures pre-certifications/pre-notifications, collects co-pays and deposits, and provides financial assistance information.
Provides wayfinding assistance to all clinics where Patient Administrative Services offers registration support.
Maintains regulatory and functional knowledge of registration information for timely and accurate reporting/billing, obtains required signatures, and performs clerical duties.
Educates patients regarding insurance coverage and communicates proper billing procedures and requirements.
Communicates coverage issues to service areas and works with patients and staff to resolve them.
Ensures accuracy and completion of paperwork before filing admissions, contacting clinical staff for incomplete information, and distributing admission documents.
Maintains department scheduling templates for applicable providers in outpatient locations, ensuring appropriate scheduling utilization.
Maintains contact with Care Management and Social Work departments to ensure information for reimbursement and pre-admission/pre-certification requirements are met.
Assists supervisors with training new admitting staff by demonstrating operating processes and procedures.