Patient Access Representative

Renown Health•Reno, NV

15d

About The Position

The Patient Access Representative performs registration, scheduling, order entry, and reception functions and may float to various admitting sites within the health system. The role gathers and accurately records demographic, sponsorship or guardian, insurance, clinical, financial, and statistical information from patients, families, physicians, physician office staff, and other sources. It supports reimbursement by verifying insurance eligibility and benefits, obtaining required authorizations or notifications, identifying and collecting patient financial obligations, and accurately entering charges and orders. The representative serves patients and families with professionalism and diplomacy, aiming to make the admission process as comfortable as possible. The position follows established guidelines, regulations, policies, and procedures to support accurate registration and reduce accounts receivable. It includes explaining and obtaining signatures on admission, clinical, and financial forms; collecting accident and insurance information; determining payer sequence and estimated service costs; documenting information promptly; and referring patients to appropriate assistance agencies when financial need is identified. The representative also assists with departmental tasks and may resolve problems within established guidelines. This position does not provide patient care.

Requirements

Working-level knowledge of English, including reading, writing, and speaking.
One year of admitting, medical claims processing, professional office experience, and/or customer service experience involving financial interaction.
Must possess or be able to obtain within 90 days the computer skills needed for online learning, job-specific competencies, online forms and policies, and benefits enrollment.
Working knowledge of health care insurance, including accurately documenting subscriber information, determining payer order sequence, and obtaining required payer notification.
Knowledge of governmental program billing requirements.
Ability to identify patient financial obligations and follow point-of-service collection procedures.
Order entry skills and above-average computer application skills.
Ability to follow verbal and written instructions.
Scheduling skills suited to a fast-paced environment with frequent physician and physician-office interaction.
Ability to adapt to different admitting locations and to prioritize and multitask in a fast-paced environment.
Ability to communicate diplomatically during stressful situations, anticipate customer needs, handle unexpected situations, establish priorities, and adjust performance style when necessary.
Ability to tolerate seeing various injuries and procedures and working in an environment involving associated stress.
Ability to maintain patient-information security and confidentiality consistent with The Joint Commission and HIPAA requirements.

Nice To Haves

High school diploma or GED is preferred.
Experience with Windows operating systems, SMS Invision, the Internet, and SMS IMS Document Imaging is preferred.

Responsibilities

Perform registration, scheduling, order entry, and reception functions; assist with departmental tasks and float to admitting locations as needed.
Collect and accurately enter demographic, clinical, financial, sponsorship, guardian, insurance, and statistical information into the computer system.
Explain admission, clinical, and financial forms and obtain required signatures.
Collect accident information and identify all insurance payer sources and payer order sequence.
Verify insurance eligibility and benefits and obtain required insurance notification or authorization within the required time frame.
Process charge and order entry accurately.
Determine estimated costs for services and identify and collect patient financial obligations, including copayments, coinsurance, and deductibles, according to standard procedures.
Document collected information promptly and in accordance with department requirements.
Explore patients’ financial needs and refer them to appropriate federal, state, or county assistance agencies when appropriate.
Communicate professionally and diplomatically with patients, families, physicians, physician office staff, and other health care providers.
Maintain the security and confidentiality of patient information in accordance with applicable compliance standards.
Follow established company guidelines to resolve problems and refer matters requiring supervisory involvement to a supervisor.