ED Patient Access Representative (Part Time, Days)

St. Luke's University Health Network•Sellersville, PA

About The Position

The Patient Access Representative handles the full patient registration process for patients seen at St. Luke's University Health Network outpatient and/or Emergency Department locations. Duties include identifying patients, transcribing orders, completing registration screens, entering diagnosis and provider information, verifying insurance, collecting point-of-service payments, and addressing work queues. The representative coordinates with SLPG practices, clinical and diagnostic departments, and revenue cycle departments to support a positive patient experience, clean claim submission, and payment for services. Occasional travel between campuses or regional locations may be required. This is a part-time, day-shift position of 16 hours per week. The schedule is every other Monday and Friday, every other weekend, and every other holiday, from 6:30 AM to 3:00 PM.

Requirements

  • High school graduation or equivalent.
  • Excellent customer service and interpersonal skills.
  • General computer experience and the ability to type fluently, accurately, and quickly.
  • Ability to sit or stand for up to 8 hours per day, in periods of 4 or more hours; frequent hand/finger use for data entry; frequent walking; ability to push up to 250 pounds in a wheelchair; and occasional carrying or lifting up to 15 pounds.
  • Hearing sufficient for normal conversation and general vision.

Nice To Haves

  • Certificate or degree in a health care-related field.
  • Insurance background.
  • Knowledge of medical terminology.
  • Previous medical administrative experience and/or health care-related education courses.
  • Knowledge of the Epic health information system.

Responsibilities

  • Correctly identify and validate patients in the hospital information system to maintain accurate electronic medical records, and report possible identity theft situations to the clinical department and leadership for escalation.
  • Maintain knowledge of network policies on patient identification, including Mark for Merge, Chart Corrections, and Patient Look-Up.
  • Complete pre-registration and post-registration tasks, including demographics, emergency contacts, diagnostic orders, provider information, diagnoses, insurance and guarantor verification, real-time insurance eligibility, and point-of-service collections.
  • Resolve patient-, account-, and claim-level work queue errors related to registration; contact provider offices or review medical charts for diagnosis and medical necessity information when needed.
  • Cross-train in all areas of the location or region, including outpatient and Emergency Department areas at campus locations and applicable off-campus locations.
  • Greet and direct patients and visitors, provide courteous service, and monitor and enforce the facility visitor policy where applicable.
  • Answer internal and external calls on the department or facility main line and provide information about the facility and its services.
  • Promote use of the MyChart patient portal and patient self-service capabilities.
  • Assist patients with Welcome Kiosk and On My Way technology, including monitoring online self-scheduled arrivals and patients' progress through their visits.
  • Contact the SLPG practice or Network Prior Authorization Department to obtain required insurance referrals and pre-certifications not documented in the chart before service.
  • Obtain medical license numbers, NPI, and UPIN through appropriate websites for new outpatient provider entries to support accurate routing of results and claim submission/payment.
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