Patient Access Representative - Pediatrics/Call Center (Days) FT

Adena Health•Chillicothe, OH

1d•Hybrid

About The Position

Patient Access Representatives assist patients, clinic staff, or other clinical staff to schedule, pre-register, and register for all services at Adena Health System. They use established interviewing techniques to gather information in person, by accessing EPIC, or by phone. Information gathered includes demographic information, insurance, financial details, ensuring correct precertification/authorization, and other information from patients or their representatives required for billing and collecting patient accounts. This position uses various electronic tools to ensure the patient's insurance coverage is active and will be required to run an estimate on each patient at each visit or over the phone when pre-registering. Required signatures and documents are obtained and scanned into document imaging. This position enters diagnosis, tests, and checks orders for completeness and medical necessity. It interacts with clinicians in the ER, outpatient, and clinics to ensure patient care is delivered in a timely manner. The Patient Access Representative must be self-driven, able to multi-task and prioritize work, and possess strong communication skills to deal effectively with others. This position is team-oriented and contributes to achieving department goals. Additionally, Patient Access Representatives at AGMC answer all incoming calls on the hospital switchboard and transfer as appropriate. Caregivers in this role will need to be comfortable with collecting copays and deductibles at the time of service. This position will have a primary focus on managing incoming referrals for the Pediatrics office and will work in the Central Scheduling (Call Center) department once fully trained.

Requirements

High School Diploma or GED required
Valid Ohio Driver’s License
6 months experience in a hospital clerical, general clerical or customer service related position.

Responsibilities

Assist patients, clinic staff or other clinical staff to schedule, pre-register, register for all services at Adena Health System.
Use established interviewing techniques to gather information in person, by accessing EPIC or by phone.
Gather demographic information, insurance, financial information, ensuring correct precert/authorization and other information from patients or their representatives required for billing and collecting patient accounts.
Use various electronic tools to ensure the patient's insurance coverage is active.
Run an estimate on each patient at each visit or over the phone when pre-registering.
Obtain required signatures and documents at the time of registration and scan into document imaging.
Enter diagnosis, tests and check orders for completeness and medical necessity.
Interact with clinicians in the ER, outpatient and clinics to ensure patient care is delivered in a timely manner.
Answer all incoming calls on the hospital switchboard and transfer as appropriate.
Collect at time of service, copay and deductibles.
Manage incoming referrals for the Pediatrics office.
Work in the Central Scheduling (Call Center) department once fully trained.