Patient Access Representative - Birth Place/Labor & Delivery
About The Position
The Patient Access Representative's (PAR) directly impacts the revenue cycle by accurately processing data relating to insurance and demographic information following unit specific policies while maintaining current knowledge of payor insurance requirements. The PAR may initiate the processes and assesses surgical and diagnostic patient information to be systematically available hospital wide. The PAR meets established quality and productivity standards and interacts professionally with MD's, MD office staff, employees, outside vendors, patients, and patient representatives.
Requirements
- This position requires two years of medical office or customer service experience.
- Participates in orientation, patient access training program and continuing education. Updates and maintains knowledge and skills related to specific areas of expertise.
- Participates in orientation and continuing education and updates and maintains knowledge and skills related to specific areas of expertise.
- Word processing skills required along with PC experience; basic mathematical skills, effective verbal and written communication and human relations skills.
Nice To Haves
- Related experience in hospital registration, Eclipsys or PHS/HPF and knowledge of medical terminology preferred.
Responsibilities
- Acquires, enters and updates patient registration information into Eclipsys system and verifies accuracy of data. Provides information related to, but not limited to: Billing, compliance, patient rights and HIPAA.
- Verifies patient insurance coverage and obtains authorizations related to the patient's stay. Refers non-insured patients to financial counselor.
- Requests and collects co-pays; deposits; issues receipts at time of payment.
- Communicates with medical/clinical personnel regarding patient access, interfacility transfers, discharge processing, reimbursement issues, authorization requirements, surgical and diagnostic orders.
- Accurately indexes patient information to HPR; interacts with IS, HIM, ASR's, to assure optimal information flow; resolve inaccuracies and discrepancies.
- Intakes MD request for patient admission; co-ordinates assignment of patients to beds; maintains accurate bed-board status; compiles daily census.
- Performs other clerical tasks to support supervisor (i.e. QA related audits).
- Participates in the development of work schedule to accommodate patient flow and meet departmental needs.
- Supports/participates with the orientation process for new team members.
- Participates in huddles, line ups, and employee meetings.
- Participates in voluntary and required in-services, educational activities and performance improvement activities.
- Demonstrates appropriate conflict resolution skills with patients and colleagues.
- Facilitates patient flow by directing patients to correct locations. Maintains good relations with all customers and respects patient' rights to privacy.
- Demonstrates excellent communication skills, team concepts and delivers exceptional customer service to our patients, visitors and colleagues.
- Adheres to hospital confidentiality statement.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Religious, Grantmaking, Civic, Professional, and Similar Organizations
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
