Patient Access Representative

Lifepoint Health • McMinnville, OR

1d

About The Position

Willamette Medical Valley Patient Access Representative Full Time: PRN ONLY AS NEEDED Position Summary: Collects patient demographic, insurance, and financial information for outpatient services and inpatient admissions. Verifies benefits, obtains authorizations as needed, and collects co-pays/deductibles at the point of service to efficiently expedite the admitting process. Provides a positive first impression of the facility. Reports to the Director or Manager of Department. Reports to: Assistant Director of Patient Registration Essential Functions: Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness and accuracy, assigning medical record number if appropriate. Distributes and explains forms, documents, and educational handouts to patients or family members, ensures all necessary signatures are obtained for treatment. Meets with patient or patient's caregiver before or after admission to exchange necessary information and documentation. Provides explanation of process and addresses concerns and questions. Communicates with admitting physician's office, nursing unit staff, and/or other appropriate personnel regarding admission to exchange necessary information and determine placement. Verifies insurance benefits and obtains precertification/authorization as necessary. Determines and accepts required payments, including co-pays and deductibles, or refers to financial counselors for follow up. Researches the patients visit history to ensure compliance with third party payer requirements, completing appropriate documentation as applicable. Collects co-pays and other funds from patients based upon established criteria. Checks supplies and stocks supplies as needed. Serves as back-up for other functional areas. Performs other duties as assigned.

Requirements

• High school diploma or equivalent - Required (or equivalent Required or 3 years of directly related experience may be substituted for the required education).
• Effective English communication (read, write, speak, and understand).
• Ability to complete the Skills Competency Checklist within 90 days of hire.
• Computer experience required.
• Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
• Must be able to work in a stressful environment.
• Time management and organizational skills.

Nice To Haves

• Billing or collection experience preferred.
• Knowledge of medical terminology strongly preferred.
• Ability to operate standard office equipment, including but not limited to, computer, printer, copier, fax, calculator.

Responsibilities

• Collects patient demographic, insurance, and financial information for outpatient services and inpatient admissions.
• Verifies benefits, obtains authorizations as needed, and collects co-pays/deductibles at the point of service to efficiently expedite the admitting process.
• Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness and accuracy, assigning medical record number if appropriate.
• Distributes and explains forms, documents, and educational handouts to patients or family members, ensures all necessary signatures are obtained for treatment.
• Meets with patient or patient's caregiver before or after admission to exchange necessary information and documentation.
• Provides explanation of process and addresses concerns and questions.
• Communicates with admitting physician's office, nursing unit staff, and/or other appropriate personnel regarding admission to exchange necessary information and determine placement.
• Verifies insurance benefits and obtains precertification/authorization as necessary.
• Determines and accepts required payments, including co-pays and deductibles, or refers to financial counselors for follow up.
• Researches the patients visit history to ensure compliance with third party payer requirements, completing appropriate documentation as applicable.
• Collects co-pays and other funds from patients based upon established criteria.
• Checks supplies and stocks supplies as needed.
• Serves as back-up for other functional areas.
• Performs other duties as assigned.

Benefits

• Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
• Competitive Paid Time Off / Extended Illness Bank package for full-time employees
• Employee Assistance Program – mental, physical, and financial wellness assistance
• Tuition Reimbursement/Assistance for qualified applicants
• Professional Development and Growth Opportunities
• And much more…

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees