Patient Access Representative I

Riverside Hospital•Hampton, VA

11d

About The Position

The Patient Access Representative I provides clerical support for Patient Accounting and Admissions. The role carries out registration, insurance verification, and patient documentation procedures; completes tasks needed for patient admission; and uses department computer systems to perform daily work. The representative supports patient care by responding to inquiries and maintaining patient registration, insurance, and demographic information. The position may support other areas as department and facility needs require, assist the Manager with special projects, and work under changing conditions with some interruptions. It reports to the supervisor and ED Manager. The representative provides in-person and telephone customer service for requests for assessment or admission to the hospital for psychiatric and/or chemical dependency treatment. The role completes pre-admission and admission information, intake records, EMTALA and patient tracker logs, required medical-record documentation, insurance verifications, pre-certifications, and authorizations. It also supports patient preparation and comfort, documents valuables and contraband searches, observes patient behavior and condition, maintains a safe and clean environment, coordinates patient transports, and supports Riverside Health System service lines and initiatives.

Requirements

High school diploma or GED.
CPR/BLS certification from the American Heart Association, American Red Cross, or American Safety and Health Institute, required within 30 days.
First Aid certification from the American Heart Association, American Red Cross, or American Safety and Health Institute, required within 30 days.
Ability to use department computer systems for daily work activities.
Ability to work under changing conditions and with some interruptions.

Nice To Haves

Two years of medical clerical experience.
Two years of behavioral health care experience.

Responsibilities

Provide customer service in person and by telephone for assessment and hospital admission inquiries.
Complete pre-admission and admission data, intake documentation, and EMTALA and patient tracker logs.
Work with patients, referral sources, and law enforcement to obtain required signed and completed medical-record documentation.
Serve as an initial contact for patients, families, referral sources, and allied agencies; greet arrivals and assist with supervision and comfort.
Complete timely insurance verifications, pre-certifications, and authorizations, including TDO paperwork processing and communication with HPR5 community resource.
Document valuables and contraband searches in preparation for patient admission.
Identify process-improvement opportunities related to efficiency, appropriateness, productivity, and coordination of services; order office supplies and maintain inventory.
Observe patient behavior and condition and maintain a safe, clean environment in accordance with hospital and unit policies, including safety rounds and checks.
Assess and facilitate or coordinate patient transports and Riverside Health System initiatives while focusing on safe practices.
Provide assistance for multiple Riverside Health System service lines.
Assist the Manager with special projects and work in other areas as required by department or facility needs.