Patient Access Representative (Per Diem)

St. Luke’s University Health Network•Allentown, PA

23h•Onsite

About The Position

The Patient Access Representative is responsible for the entire scope of the registration process for patients seen at St. Luke's University Health Network, in outpatient and/or Emergency Department locations. This includes, but is not limited to, correctly identifying patients, transcribing orders, completing registration screens, entering diagnosis and provider information, verifying insurances, point of service cash collections, and managing work queues. The role involves communicating and coordinating with SLPG practices, clinical/diagnostic departments, and various revenue cycle departments to ensure an excellent patient experience, clean claim submission, and payment for services. Occasional travel between campuses or regional locations may be required.

Requirements

High school graduate or equivalent required.
Excellent customer service and interpersonal skills required.
General computer experience and ability to type fluently, accurately, and quickly required.

Nice To Haves

Certificate/Degree in a health care related field preferred.
Insurance background preferred.
Knowledge of medical terminology preferred.
Previous medical administrative experience and/or health care related education courses preferred.
Knowledge of health information system (epic) preferred.

Responsibilities

Correctly identify and validate patients in the hospital information system to maintain the integrity and accuracy of electronic medical records.
Identify and report any instances of possible identity theft situations to the clinical department and leadership for appropriate escalation.
Maintain knowledge and education of network policy on Patient Identification, including Mark for Merge, Chart Corrections, and Patient Look-Up.
Perform patient registration, including demographics, emergency contact, transcribing diagnostic orders, primary care and referring provider information, diagnosis, insurance and guarantor verification, real-time insurance eligibility, and point of service cash collections.
Address patient, account, and claim edit level work queue errors related to registration.
Contact provider offices and review patient medical charts for diagnosis and medical necessity information.
Cross-train in all areas of the location or region, including outpatient and Emergency Department areas if applicable.
Greet and direct patients and visitors, providing friendly and courteous service.
Monitor and enforce visitor policy for the entity, if applicable.
Answer internal and external calls on the main department/facility line and provide appropriate information.
Promote and increase usage of the MyChart patient portal and patient self-service capabilities.
Oversee and assist patients with Welcome Kiosk and On My Way technology.
Contact the SLPG practice or Network Prior Authorization Department to obtain required insurance referrals and pre-certifications.
Obtain medical license numbers, NPI, and UPIN via appropriate websites for all new provider entries for outpatient services.