The Patient Representative provides a positive patient encounter as the first impression of the hospital. This role ensures the accuracy of medical, demographic, insurance, and financial information through interviews and verification of insurance benefits. The representative uses ACMC systems and applications to capture and communicate data to Health Information systems, patient care departments, and Patient Financial Services for billing purposes. Responsibilities include accurately identifying patients, obtaining consent signatures required for clinical treatment, entering appropriate diagnosis, procedure, and physician information for medical records, and communicating with insurance companies and physicians regarding coverage and authorization requirements. The representative also utilizes online, web-based, and telecommunication verification systems to ensure accuracy and expedite payment, collects co-pays and deductibles, and ensures compliance with local, state, federal, third-party EMTALA, and JCAHO regulations. Additionally, the role involves performing all ADT functions necessary to facilitate effective utilization of beds.