Patient Access Representative

Community Memorial Hospital•Redfield, SD

37d•Onsite

About The Position

Redfield Community Memorial Hospital and Clinic is seeking a qualified individual to join our team! Position Highlights Job Summary The Patient Access Rep is responsible for insurance verification and preauthorization functions within the Meditech B/AR, Scheduling and Admission Applications. Using ICD conventions, the Patient Access Rep codes scheduled outpatient encounters and checks for correctness and completeness prior to the date of service. The Patient Access Rep handles all aspects of scheduling, pre-registering, registering or admitting patients for services at CMH. The Patient Access Rep provides the described services for patients of all ages who present to the hospital for treatment or services. Demonstrating knowledge of the principles of growth and development, the Patient Access Rep possesses the ability to respond to specific issues and data reflective of the client's status. This person is responsible for expert relations with the clients, customers, hospital staff, physicians and physicians' office personnel.

Requirements

Requires high school education
Computer knowledge and knowledge of medical terminology necessary.
Must be able to complete and synthesize principles of ADM, BAR, and CWS applications.
Proficient in use of internet, following ASL internet usage policy.

Nice To Haves

Advanced secretarial or clerical training desired.
Previous experience preferred.

Responsibilities

Receive requests and schedule appointments for elective services from physician offices, hospital departments and/or patients.
Utilizing the appropriate procedures, obtain accurate information to book appointments and enter into the computer system.
Interview patients or their representative by telephone to obtain accurate and current demographic, financial and insurance information required for procedures, pre-registration, registration, billing and claims filing.
Work directly with physicians' offices to obtain necessary insurance information when applicable.
Obtain insurance verification and preauthorization for patients receiving services and document such in the hospital computer system.
Pre-register patients, utilizing the same detail that is required for registration
Follow up incomplete patient registration information and make necessary phone calls or other arrangements to obtain the information.
Refer stat orders to appropriate department within an acceptable time frame.
Provide procedure-specific instructions to the customer including information necessary to prepare for and complete the procedure.
Send out appropriate instructions to the customer when applicable.
Completes necessary duties as assigned by department head and adheres to policies and procedures.
Establish and maintain positive inter-personal relationships.
Respect confidentiality of patients, visitors, hospital personnel and hospital business in general.
Interact with customers in a competent manner appropriate to their ages.
Consistently utilize time in an effective manner
Demonstrate reliability in attendance and punctuality
Provide information per hospital policy to visitors and hospital department staff
Understand the responsibilities of maintaining and updating skills and job knowledge
Possesses initiative, independent judgement and ability to organize and direct one's own work.