Patient Access Representative

Renown Health•Reno, NV

15d

About The Position

The Patient Access Representative performs registration, scheduling, order-entry, and reception functions and may float among admitting sites within the health system. The role expedites healthcare access by accurately gathering demographic, sponsorship or guardian, insurance, clinical, financial, and statistical information from patients, families, physicians, physician office staff, and other sources. It supports reimbursement by verifying insurance eligibility and benefits, obtaining required authorization or notification, identifying and collecting patient financial obligations, and entering charges and orders accurately. The representative interacts professionally and diplomatically with patients of all ages, their families, physicians, and other healthcare providers, in person and by telephone. The role aims to make admissions comfortable and pleasant while following established guidelines, regulations, policies, and procedures. It also explores patients’ financial needs and refers them to appropriate federal, state, or county assistance agencies when appropriate. The position may assist with other departmental tasks and has authority to resolve problems within established company guidelines; specified matters must be referred to a supervisor. This position does not provide patient care.

Requirements

Working-level knowledge of English, including reading, writing, and speaking.
Six months of admitting, medical claims processing, professional office, and/or customer service experience involving financial interaction.
Ability to communicate diplomatically and effectively in stressful situations.
Ability to anticipate customer needs, handle unexpected situations, establish priorities, investigate, and adjust work style as needed.
Ability to work around the sight of various injuries and procedures and the stress associated with the environment.
Working knowledge of healthcare insurance, including documenting subscriber information, determining payer order sequence, and obtaining payer notification as required.
Ability to maintain patient-information confidentiality in accordance with The Joint Commission and HIPAA standards.
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 substantial interaction with physicians and physician office staff.
Ability to be flexible, adapt to different admitting locations, and prioritize and multitask in a fast-paced environment.
Must possess, or be able to obtain within 90 days, the computer skills needed to complete online learning requirements, access online forms and policies, and complete online benefits enrollment.

Nice To Haves

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

Responsibilities

Perform registration, scheduling, order-entry, and reception functions, and float to various admitting locations as needed.
Gather, enter, and document demographic, clinical, financial, and other required information accurately and promptly.
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 benefits and obtain required insurance notification or authorization within the required timeframe.
Enter charge orders accurately and determine estimated costs for services.
Identify and collect patient financial obligations, including copayments, coinsurance, and deductibles, following standard procedures for point-of-service collections.
Refer patients to appropriate federal, state, or county assistance agencies when appropriate.
Provide professional, diplomatic service to patients, families, physicians, physician office staff, and other healthcare providers.
Maintain the security and confidentiality of patient information in accordance with applicable compliance standards.
Prioritize and multitask in a fast-paced environment and adapt to different admitting department locations.
Assist with completion of departmental tasks and resolve problems within established company guidelines.