Patient Access Representative - Boardman Location

Good Shepherd Health Care•Boardman, OR

7h•$21 - $33•Onsite

About The Position

The Patient Access Representative is responsible for ensuring the efficient flow in the daily operations, customer service on phones, completes outpatient registrations, pre-registration of admissions, collection of payments/co-payments, verifying insurance coverage, filing all paperwork into patient chart, correctly taking messages and ensuring their timely delivery, communicating with insurance companies to obtain or verify authorization of care and medical necessity information.

Requirements

High School Diploma or equivalent. Copy of HS Diploma/GED must be provided upon hire.

Nice To Haves

Minimum of 2 years hospital collection experience preferred.
Bilingual and/or English Spanish speaking preferred. Ability to work with culturally diverse population.

Responsibilities

Collect patient demographic and insurance information then accurately keys this information into the electronic patient record systems completing outpatient registrations
Correctly takes messages either by phone, ensuring all necessary information is gathered and documented following departmental guidelines. Also ensure that the messages are delivered in a timely manner.
Scans in patient insurance benefit, patient liability estimate, and authorization information into electronic health record daily.
Provides courteous and professional customer service via phone (within 3 rings), assisting patients and providers as needed.
Collects Co-pay or Co-insurance to appropriate accounts
Communicates with insurance companies to obtain or verify authorization of care
Secures medical necessity checks/verification in accordance with Centers for Medicare & Medicaid services, verifies insurance benefits, coverage & eligibility, completes assigned registration work lists activities, obtains/verifies insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors.
Thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of admissions, Important Message from Medicare, EMTALA, etc.). Scan Protected Health Information, create and file patient information packets/folders for Hospital services.
Assists with scheduling diagnostic procedures.
The employee supports the hospital mission, vision, values, policies, and procedures.
Participates in required education for DNV programs as applicable to position (reference program education curriculum).
Performs other related duties as assigned.