Patient Access Representative II (Full Time)

Monroe County Hospital•Forsyth, GA

9d•Onsite

About The Position

The Patient Access Representative II is responsible for performing all admitting procedures for patients presenting to the Emergency Room and assisting the Patient Access Manager with duties assigned.

Requirements

High School diploma or GED.
Must be efficient with keyboarding and computer applications.
One (2) year of experience in healthcare financial counseling.
One (2) year of experience in a hospital or medical office setting.
Knowledge of insurance processing.

Responsibilities

Monitors and promotes compliance with facility policies, workplace safety, positive employee relations, teamwork, mutual respect, and effective communication.
Responds to concerns and/or complaints from patients, the public, medical staff, subordinates, and/or other hospital employees pertaining to assigned areas in order to maintain positive customer relations.
Interviews incoming patients or representatives and enters information required for admission into the health information system.
Obtains required signatures from patient and/or representative for consent of care and any other required documents per hospital policy and protocols. Documents how consent was obtained or not obtained from responsible parties.
Enters, records, stores, and maintains information in written and electronic form.
Interview patient or representative to obtain and record individual and/or company insurance responsible for payment of the bill.
Explains hospital regulations, such as visiting hours and payment of accounts.
Provide a smooth flow of patients through the admitting area/ER, directing or escorting patients as necessary to the appropriate department.
Understand the functional status and physical needs of patients, staff, and visitors to the hospital and assist in those needs.
Maintain a working knowledge of community services and resources available to all patients. Refer patients as necessary to the appropriate agency or department.
Records all emergency room patients seen on the electronic ER log related to each account.
Accepts payments and issues receipts, collects co-payments and deductibles, and reconciles petty cash drawer at the end of each shift.
Process telephone communications in an efficient and courteous manner for patients, physicians, the general public, and hospital staff.
Pages for medical staff, disaster, and emergency codes as required by policy. Pages should be done in a clear, distinct, and audible voice.
Run a daily registration quality report before the end of each shift to check the accuracy of registrations and make corrections as necessary.
Controls visitor access to the hospital after hours, clears any after-hours visitors with the Charge Nurse, and issues visitor passes as appropriate.
Foster high levels of customer service and release only appropriate patient information while ensuring HIPAA compliance is followed. Refers all other medical information releases to HIM for processing.
Ensures all patient information is safeguarded and kept confidential according to prescribed policies and procedures.
Analyze information and evaluate results to choose the best solutions available and solve problems as they arise.
Develop constructive and cooperative working relationships with others; ensure the flow of communication within the department.
Interviews, correspond with, and counsels the patient and/ or patient’s family regarding information relative to insurance, employment, and financial ability to pay.
Verifies insurance benefits prior to admission for all planned admissions and as soon as reasonably possible after admission for all emergencies.
Coordinates the pre-certification process between hospital and physician offices to ensure that all required procedures and surgery pre-certifications are completed in a timely manner.
Initiates pre-certification process for Emergency Medicaid patients who require CT/MRI procedures.
Facilitates training of new team members in addition to cross training other admission personnel for coverage as necessary.
Demonstrates extensive knowledge of duties and job functions.
Serve as key support resource to staff.
Provides guidance and direction to staff regarding workflow, systems, and patient registration processes Troubleshoots and reports issues as needed to manager.
Monitors staff attendance in their assigned area:
Assist with monthly Patient Access departmental schedule.
Ensures daily shift(s) coverage.
Receives call for staff call-outs.
Secures shift coverage in cases of illness and emergencies.
Records, tracks, and identifies patterns of excessive absenteeism and tardiness.
Responsible for filling shifts if a shift is uncovered regardless of time or day of shift.
Other duties as assigned by Patient Access Manager.