Patient Access Representative- Pediatrics (PT) Days

Adena Health•Chillicothe, OH

1d•Onsite

About The Position

The Patient Access Representative assists patients, clinic staff, and other clinical staff with scheduling, pre-registration, and registration for services at Adena Health System. Using established interviewing techniques, the representative gathers information in person, through EPIC, or by phone, including demographic, insurance, and financial information needed for billing and patient-account collection. The role also verifies precertification and authorization information and uses electronic tools to confirm active insurance coverage. The representative runs an estimate for each patient at each visit or by phone during pre-registration, obtains required signatures and documents, and scans documents into the imaging system. The position enters diagnoses and tests and checks orders for completeness and medical necessity. It interacts with clinicians in emergency, outpatient, and clinic settings to support timely care delivery. The representative is expected to work independently, multitask, prioritize work, communicate effectively, work well with others, and contribute to department goals. The caregiver must be comfortable collecting copayments, deductibles, and other amounts at the time of service. The posting also notes that Patient Access Representatives at AGMC answer incoming hospital switchboard calls and transfer them as appropriate; it does not state that this specific pediatric clinic position performs that duty.

Requirements

High school diploma or GED.
Valid Ohio driver’s license.
At least 6 months of experience in a hospital clerical, general clerical, or customer service-related position.
Strong communication skills and ability to deal effectively with others.
Ability to multitask, prioritize work, and work independently.
Team-oriented approach and contribution to department goals.
Comfort with collecting copayments, deductibles, and other amounts at the time of service.

Responsibilities

Assist patients and clinical staff with scheduling, pre-registration, and registration for services.
Gather demographic, insurance, financial, authorization, and other information needed for billing and collecting patient accounts, in person, through EPIC, or by phone.
Use electronic tools to verify that patient insurance coverage is active.
Run an estimate for each patient at each visit or by phone during pre-registration.
Obtain required signatures and documents at registration and scan them into document imaging.
Enter diagnoses and tests and check orders for completeness and medical necessity.
Interact with clinicians in emergency, outpatient, and clinic settings to support timely care delivery.
Collect copayments, deductibles, and other amounts at the time of service.
At AGMC, answer incoming hospital switchboard calls and transfer them as appropriate.