Patient Access Representative - Full-Time - AVALA Hospital - RH385

AVALA•Covington, LA

About The Position

Under the supervision of the Business Office Manager, the Patient Access Representative is responsible for obtaining accurate patient demographics and insurance information during the patient interview process; the process includes in-person, and phone interviews, corrects information as needed. Processes the registration including obtaining the patients signature on the Authorization for Treatment, Advanced Beneficiary Notice (ABN) and completing the Medicare Secondary Payer (MSP) questionnaire. Scans all necessary documentation into Patient Account. Performs verification of benefits and fully understands plan benefits. Collects co-payments, estimated co-insurance and deductibles, which includes phone calls to physician offices to discuss financial authorization status prior to service as well as collecting at time of service. Answers incoming phone calls and assist caller as needed. And any other duties assigned by the Business Office Manager.

Requirements

High school diploma.
Two (2) or more years’ experience.
Ability to communicate effectively in English, both verbally and in writing.
Basic computer knowledge.

Responsibilities

Registration and Verification Able to handle heavy phone volumes, ensures that callers are transferred to the appropriate department and/or person.
Answers calls in a timely manner; identifies department and self when answering the telephone.
Able to handle all codes and stat calls proficiently.
Verifies that patient demographic information is accurate and ensures that insurance cards, consents and other admission documents are complete and in order.
Ability to explain required forms to the patient in detail (i.e.: Authorization for Treatment, Advanced Beneficiary Notice (ABN), and Medicare Secondary Payer (MSP) questionnaire).
Obtains required signatures as needed.
As part of the pre-registration process, contacts patient to verify demographic information, insurance information, and MSP questionnaire.
Ability to verify insurance coverage and understand benefit requirements and ensures that all notification/authorizations are completed based on plan requirements.
(a) Work with physician offices to obtain necessary authorization on scheduled procedures.
Ability to explain insurance benefits to patient.
Informs patients of estimated balance due based on plan benefits and collects monies due at time of service.
Demonstrates knowledge of all features and functions of the Patient Accounting areas.
Notifies appropriate staff regarding any issues or concerns in a timely manner.
Balances daily receipts list to cash, checks, and credit card payments received at the end of each day.
Communicates with management/physician offices regarding any problematic insurance concerns that may affect the payment of services.
Functions as back up to concierge.
Other duties as assigned.