Patient Access Representative

Emory Healthcare•Johns Creek, GA

11h•Onsite

About The Position

Be inspired. Be valued. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.

Requirements

High school diploma or equivalent.
At least 2 years healthcare related or customer service experience.
Typing skills with a minimum of 35 wpm and good communication skills.

Nice To Haves

Knowledge of Medicare, Medicaid, and other commercial payers (HMO, PPO) preferred.
Associate or bachelor degree may be accepted in lieu of experience.
Certified Healthcare Access Associate (CHAA) preferred.

Responsibilities

Assist in the coordination, prioritization and completion of front-end patient registration activities ranging from pre-registration through discharge in the Patient Access Services Department.
Ensure patient insurance verification is accomplished and all requirements are met.
Accurately complete patient registrations based on departmental protocols and standards, policies and procedures, and compliance with regulatory agencies.
Call patients to pre-register or confirm appointments.
Prioritize work for optimal reimbursement and to avoid financial risk to both patient and hospital.
Ensure all insurance requirements are met prior to or on the date of service and inform patients of their financial liability and collect liability due.
Identify patients who require early financial counseling intervention.
Ensure all uninsured patients are referred to a financial counselor as appropriate.
Assist patients, guarantors and families with insurance questions in a professional manner and is responsible for escalating any unaddressed insurance benefit concerns to the department Financial Counselor.
Maintain confidentiality of patient information, employee information and other information covered by regulations or professional ethics.
Perform duties in support of the EHC Patient Access Mission Statement.
Maintain thorough understanding of insurance, registration, scheduling, referrals, authorizations, and account follow-up.
Maintain knowledge of multiple department system applications utilized by Patient Access.
Familiar with and adhere to all state and federal regulations such as EMTALA, CMS, HIPAA, and JCAHO guidelines.
Effectively communicate identified issues and concerns in a constructive and professional manner.
Participate in generating ideas and solutions for improvements.
Respond in a timely and appropriate way to verbal and written requests.
Accurately search the database to establish if patient is new or an established patient.
Obtain required signature for release of information in a timely manner, adhering to policy and procedures.
Complete registration by verification of information and insurance for established patient or entering information for new patient prior to discharge of patient.
Reconfirm date of birth and legal spelling of the patients name.
Obtain appropriate signature(s) and scan all appropriate documents (Admission/Registration Agreement, Notice of Privacy Practice, and Important Message from Medicare, etc.).
Scan patient id and insurance cards.
Make every attempt to collect patient liability as appropriate and document the response if not collected.
Appropriately distribute registration paperwork according to departmental procedures.
Schedule procedures/follow-up appointments.
Communicate hospitals financial policies to all patients.
Maintain appropriate monthly assurance accuracy rate as determined by the department.
Maintain established departmental standards regarding productivity, quality, and collections.