Patient Access Representative (Full Time, Nights w/ Rotating Weekends)

Monroe County Hospital•Forsyth, GA

11d•Onsite

About The Position

This is a Non-Exempt, Full Time position as the Patient Access Representative. Patient Access Representative is responsible for performing all admitting procedures for patients presenting to the Emergency Room.

Requirements

High School diploma or GED.
Must be efficient with keyboarding and computer applications.
One (1) year of experience in healthcare financial counseling.
One (1) year of experience in hospital or medical office setting.

Nice To Haves

Experience with hospital information systems and hospital insurance applications preferred.

Responsibilities

Interviews incoming patient or representative and enters information for admission into 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.
Interviews patient or representative to obtain and record individual and/or company insurance responsible for payment of 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 assists 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.
Processes telephone communications in an efficient and courteous manner for patients, physician, 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 hospital after hours, clears any afterhours visitors with Charge Nurse, and issues visitor pass as appropriate.
Fosters high levels of customer service and releases 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 flow of communication within department.
Interviews, corresponds 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 pre-certification process between hospital and physician offices to ensure that all required procedure and surgery pre-certifications are completed in a timely manner.
Initiates pre-certification process for Emergency Medicaid patients who require CT/MRI procedures.
Will cross-train other admissions personnel for cross coverage as necessary.