Patient Access Representative

Good Shepherd Health Care•Hermiston, OR

9d•Onsite

About The Position

The Patient Access Representative supports the efficient daily operation of patient access services and provides courteous customer service by phone. The role completes outpatient registrations and pre-registration of admissions; collects co-payments and other payments; verifies insurance coverage, eligibility, benefits, and authorizations; and records patient information and documents in electronic patient systems. The representative also communicates with insurance companies, helps secure medical-necessity information, handles messages, and assists with scheduling diagnostic procedures. The position requires explaining and obtaining hospital and patient legal forms, scanning protected health information and insurance-related documents, and creating and filing patient information packets. The employee supports the hospital's mission, vision, values, policies, and procedures, participates in required DNV program education as applicable, and performs other related duties as assigned.

Requirements

High school diploma or equivalent; a copy of the diploma or GED must be provided upon hire.
Ability to communicate effectively in person, by phone, and electronically.
Ability to work with a culturally diverse population.

Nice To Haves

At least two years of hospital collection experience.
Bilingual ability and/or English-Spanish speaking ability.

Responsibilities

Collect patient demographic and insurance information and enter it accurately into electronic patient record systems to complete outpatient registrations.
Take and document phone messages according to departmental guidelines, gather necessary information, and ensure messages are delivered promptly.
Scan patient insurance benefits, patient liability estimates, and authorization information into the electronic health record daily.
Provide courteous and professional phone customer service, answering within three rings and assisting patients and providers as needed.
Collect co-payments or co-insurance and apply them to the appropriate accounts.
Communicate with insurance companies to obtain or verify authorizations of care.
Complete medical-necessity checks and verification in accordance with Centers for Medicare & Medicaid Services requirements.
Verify insurance benefits, coverage, and eligibility; complete assigned registration work-list activities; obtain or verify authorizations for scheduled and unscheduled hospital services; and secure inpatient visit notifications to payors.
Explain and obtain hospital and patient legal forms, including Advance Directives, Conditions of Admission, Important Message from Medicare, and EMTALA forms.
Scan protected health information and create and file patient information packets or folders for hospital services.
Assist with scheduling diagnostic procedures.
Support the hospital mission, vision, values, policies, and procedures.
Participate in required education for DNV programs as applicable to the position.
Perform other related duties as assigned.