Patient Access Representative (FT, Days) Adena Pike Specialty Clinic

Adena Health•Waverly, OH

5d•Onsite

About The Position

Patient Access Representatives are essential non-clinical roles at Adena Health, contributing significantly to care delivery. This position is ideal for individuals who value service, organization, teamwork, and making a behind-the-scenes impact. The Patient Access Representative assists patients and staff with scheduling, pre-registration, and registration for all services within the Adena Health System. They utilize established interviewing techniques, either in person, via EPIC, or by phone, to gather necessary information. This includes demographic, insurance, and financial details, ensuring correct precertification/authorization, and other patient information required for billing and account collection. The role involves using various electronic tools to verify active insurance coverage and performing estimates for each patient visit or during pre-registration over the phone. Obtaining required signatures and documents, scanning them into document imaging, and entering diagnosis and test information are also key duties. This position requires interaction with clinicians in the ER, outpatient, and clinics to ensure timely patient care. The Patient Access Representative must be self-driven, capable of multitasking and prioritizing work, possess strong communication skills, and interact effectively with others. They are team-oriented and contribute to departmental goals. Additionally, Patient Access Representatives at AGMC handle incoming calls on the hospital switchboard and transfer them appropriately. Collecting copays and deductibles at the time of service is also expected.

Requirements

Self-driven
Able to multi-task and prioritize work
Strong communication skills
Able to deal effectively with others
Team oriented

Responsibilities

Assists patients, clinic staff or other clinical staff to schedule, pre-register, register for all services at Adena Health System.
Uses established interviewing techniques to gather information in person, by accessing EPIC or by phone.
Gathers demographic information, insurance, financial, ensuring correct precert/authorization and other information from patients or their representatives required for billing and collecting patient accounts.
Uses various electronic tools to ensure the patient's insurance coverage is active.
Runs an estimate on each patient at each visit or over the phone when pre-registering.
Obtains required signatures and documents at the time of registration and scans them into document imaging.
Enters diagnosis, tests and checks orders for completeness and medical necessity.
Interacts with clinicians in the ER, outpatient and clinics to ensure patient care is delivered in a timely manner.
Answers all incoming calls on the hospital switchboard and transfers as appropriate.
Collects at time of service, copay and deductibles, etc.