Patient Access Services Representative (NY HELPS) - FT - Varied Shift

ECMC•Buffalo, NY

49d•$23 - $28

About The Position

DISTINGUISHING FEATURES OF THE CLASS: The work involves performing a variety of clerical functions related to the registration of patients for clinical, surgical, inpatient and ancillary departments at the Erie County Medical Center Corporation (ECMCC). The incumbent performs tasks such as obtaining and reviewing patient information, scheduling patient appointments, verifying benefits eligibility, calculating and receiving patient co-pay, and inputting information into computer information systems. The work is performed under the direct supervision of a higher-level Revenue Cycle or Ambulatory Services employee. Supervision is not a function of this position. Does related work as required.

Requirements

Possession of a minimum of sixty (60) college credit hours or an Associate's Degree; or:
Graduation from high school or possession of a high school equivalency diploma and one (1) year of clerical experience in: patient admissions, patient registration, patient appointment scheduling, health insurance verification, health insurance eligibility or health insurance processing in a healthcare setting or third party payer setting.; or:
Graduation from high school or possession of a high school equivalency diploma and possession of a Medical Assistant, Medical Administrative Assistant or Certified Medical Office Assistant certificate.

Responsibilities

Pre-registers and/or registers patients for various locations throughout ECMCC such as Emergency Room, clinics, inpatient, surgical and ancillary services using computer information systems
Schedules patient appointments, gathers demographic information including payer information and inputs into computer information systems
Obtains insurance information required for hospital billing, including completion of the Medicare Secondary Payer Questionnaire; performs work related to patient health insurance eligibility such as obtaining and verifying preauthorization approval for procedures, receiving authorization errors and making corrections to errors; inputs information into the electronic computerized system
Verifies third party payers using telephone or online verification systems
Determines insurance co-payments due from patient at time of service; collects required amounts at time of pre-registration and/or registration and issues receipts
Identifies and interview patients without insurance to assess qualifications for government entitlement programs or uncompensated charity care programs in accordance with hospital policy
Obtains signatures on various forms
Provides feedback to appropriate person of missing/incorrect information so it can be obtained at the point of service
Provides patients with information and responds to inquiries regarding appointment scheduling, registration, payment, repayment services, etc.
Identifies related issues and works with other departments and outside entities to resolve
Refers patients to staff responsible for developing contractual payment plans
Operates bed board system assigning beds appropriate to cohort specifications, hospital transfers, direct admissions and various bed board functions
Complies with applicable federal and state regulatory agency guidelines, including Health Information Portability and Accountability Act of 1996 (HIPAA) privacy standards, established departmental policies and procedures, objectives, quality assurance, safety, environmental, infection control standards, etc.
Performs a variety of related clerical duties as required.