Patient Access Representative

Renown Health•Sparks, 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 gathers 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 authorizations, identifying and collecting patient financial obligations, and accurately entering charge orders. The representative aims to make the admission process comfortable and pleasant for patients and families. The position requires professional, diplomatic interactions with patients of all ages and healthcare partners, both in person and by telephone. It follows established guidelines and procedures to support timely and accurate registration and reduce accounts receivable. The representative may address problems within established guidelines; matters such as time-off requests, work schedules, and issues that could negatively affect the company must be referred to a supervisor. This position does not provide patient care.

Requirements

At least six months of admitting, medical claims processing, professional office, and/or customer service experience involving financial interaction.
Ability to read, write, speak, and understand English sufficiently to perform job duties safely and effectively.
Proficiency with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word.
Ability to use a computer for online learning, 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 the environment.
Working knowledge of healthcare insurance, including documenting subscriber information, determining payer order, and obtaining required notifications.
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 and adapt to different admitting locations and changing priorities.

Nice To Haves

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

Responsibilities

Gather and accurately enter demographic, clinical, and financial information into the computer system.
Explain admission, clinical, and financial forms and obtain signatures.
Collect accident information and identify insurance payer sources and payer order sequence.
Verify insurance eligibility and obtain required insurance notifications or authorizations within the required timeframe.
Process charge order entry and determine estimated costs for services.
Identify and collect patient financial obligations, including copayments, coinsurance, and deductibles, following standard operating procedures.
Document collected information promptly and according to department requirements.
Explore patients’ financial needs and refer them to appropriate federal, state, or county assistance agencies when appropriate.
Perform scheduling, order entry, and reception functions and assist with departmental tasks.
Maintain confidentiality and security of patient information in accordance with applicable standards.
Adapt to different admitting locations and prioritize or multitask in a fast-paced environment.