Patient Access Rep - Cardio Clinic - Full Time

Kingman Regional Medical Center•Kingman, AZ

About The Position

The Patient Access Representative completes patient registration processes at management’s direction, including verifying benefits, discharging patients, collecting copayments or payments, balancing accounts, and entering data. The role supports KHI’s vision of providing a kind, high-quality health system and contributes to patient satisfaction through responsive service and adherence to the Behavioral Expectations Agreement. The representative preregisters, registers, schedules, reschedules, and discharges patients according to established guidelines. Duties include maintaining accurate electronic health records, verifying insurance eligibility and benefits, obtaining required pre-authorizations, scanning relevant documents, collecting signatures, and managing patient payments. The role also involves balancing daily cash, completing related logs and reports, using insurance eligibility and audit tools, and correcting variances in the EMR. The position may require floating to other work areas and working nights, weekends, holidays, and extended hours when needed, as well as participating in a rotating on-call schedule. Other duties may be assigned to support the department and organization. The role has possible, but not routine, exposure to blood, body fluids, or tissues. Employees must be able to perform the listed physical activities and use telephone and computer hardware and software for most of the shift.

Requirements

High school diploma or equivalent.
At least 1 year of experience in a customer service position and/or office setting.
Effective oral and interpersonal communication skills.
Ability to multitask, prioritize appropriately, and manage time efficiently.
Ability to use technological resources, including phones, computer hardware, software programs, fax machines, and scanners.
American Heart Association BLS certification required upon hire.
Ability to reach above and below shoulder level, lift, bend, kneel, squat, stand, walk, and sit for the full scheduled shift.
Ability to use telephone and computer software and hardware for most of the shift (90% of the day).

Nice To Haves

Previous experience in healthcare registration, scheduling, and/or authorizations.

Responsibilities

Provide excellent customer service, support patient satisfaction, and adhere to the Behavioral Expectations Agreement.
Field or direct incoming calls and respond to patient and staff inquiries.
Refer patient accounts to financial counselors when further explanation or education is needed.
Assist coworkers, participate in process improvement, and float to other work areas as requested.
Preregister, register, schedule, reschedule, and discharge patients according to defined guidelines.
Enter new patient data, verify and update patient records, and ensure the electronic health record is complete.
Verify insurance eligibility and benefits within KHI’s required timeframe.
Obtain pre-authorizations from third-party payers when required.
Ensure required information and documents are complete and scanned into the electronic health record.
Obtain signatures on required forms and manage copayments, deductibles, allowances, and other payments as instructed.
Balance daily cash and complete the daily cash log, bank deposit slip, and reports to Patient Financial Services.
Use insurance eligibility and audit tools, and report and correct variances in the EMR.
Collect upfront copayments and deductibles and secure deposits for self-pay and high accounts.
Work nights, weekends, holidays, and extended hours when needed; participate in a rotating on-call schedule as assigned.
Perform other duties as assigned to support the department and organization.