Patient Access Representative

Renown Health•Reno, NV

About The Position

This position performs registration, scheduling, order-entry, and reception functions and may float among admitting sites within the health system. It gathers demographic, sponsorship or guardian, insurance, clinical, financial, and statistical information from patients, families, physicians, physician office staff, and other sources to expedite healthcare access. The role supports reimbursement by verifying insurance eligibility and benefits, obtaining required authorizations, identifying and collecting patient financial obligations, and accurately entering charges and orders. It also aims to make the admission process comfortable and pleasant for patients and families. The representative interacts professionally and diplomatically with patients of all ages, families, physicians, physician office staff, and other healthcare providers, in person and by telephone. The role follows established guidelines, regulations, policies, and procedures to support accurate registration and reduce accounts receivable. It explores patients’ financial needs and, when appropriate, refers them to federal, state, or county assistance agencies. The incumbent also assists with departmental tasks and may resolve problems within established company guidelines; certain matters must be referred to a supervisor. This position does not provide patient care.

Requirements

Ability to read, write, speak, and understand English sufficiently to perform job duties safely and effectively.
At least six months of admitting, medical claims processing, professional office, and/or customer service experience involving financial interaction.
Proficiency with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word.
Ability to use a computer for online learning requirements, accessing forms and policies, benefits enrollment, and other job-related tasks.
Ability to communicate diplomatically and effectively during stressful situations.
Ability to anticipate customer needs, handle unexpected situations, establish priorities, investigate, and adjust performance style as needed.
Ability to handle exposure to the sight of various injuries and procedures and the stress associated with such an environment.
Working knowledge of healthcare insurance, including accurately documenting subscriber information, determining payer order sequence, and obtaining payer notifications as required.
Knowledge of governmental program billing requirements.
Ability to identify patient financial obligations and follow point-of-service collection procedures.
Order-entry skills and above-average computer application skills.
Ability to follow verbal and written instructions.
Scheduling skills suited to a fast-paced environment with frequent physician and physician-office staff interaction.
Flexibility to adapt to different admitting department locations and ability to prioritize and multitask.
Ability to keep patient information secure and meet confidentiality compliance standards.

Nice To Haves

High school diploma or GED preferred.
One year of relevant experience preferred.
Experience with Windows operating systems, SMS InVision, the Internet, and SMS IMS Document Imaging preferred.

Responsibilities

Perform registration, scheduling, order-entry, and reception functions, and assist with departmental tasks.
Collect and accurately enter demographic, clinical, and financial information into the computer system.
Explain admission, clinical, and financial forms and obtain required signatures.
Collect accident information and identify insurance payer sources and payer order sequence.
Verify insurance eligibility and obtain insurance notifications and authorizations within required time frames.
Process charge and order entry and determine estimated costs for services.
Identify and collect patient financial obligations, including copayments, coinsurance, and deductibles, following standard procedures.
Document collected information promptly and according to departmental requirements.
Explore patients’ financial needs and refer them to appropriate federal, state, or county assistance agencies when appropriate.
Provide professional, diplomatic service to patients, families, physicians, office staff, and other healthcare providers.
Protect patient information in accordance with confidentiality requirements, including HIPAA and The Joint Commission standards.
Float to different admitting locations and prioritize or multitask in a fast-paced environment.