Patient Representative BBC ED 3rd shift

Bronson Healthcare

15h•Onsite

About The Position

Patient Representatives are crucial for ensuring the efficient and effective management of patient access needs across the organization. This role involves a variety of tasks including greeting and registering patients, collecting and entering demographic and insurance information, verifying coverage, and scheduling appointments. Representatives are also responsible for providing financial details, offering price estimates, and processing payments. A strong understanding of billing and coding requirements, along with the ability to apply industry standards, is essential. The position requires the ability to resolve patient financial issues and negotiate payment arrangements. Patient Representatives must recognize the critical impact of accurate and complete information on patient care and the overall revenue cycle. This role operates within a team environment, emphasizing the delivery of exceptional customer service. Employees providing direct patient care are expected to demonstrate competencies specific to the population they serve.

Requirements

High school diploma or general education degree (GED)
Current knowledge of billing and coding requirements and the ability to apply these based on industry standards
Ability to resolve patient financial issues and negotiate payment arrangements
Understanding of the ramifications and impact of incomplete or inaccurate information to patient care and the overall revenue cycle
Previous customer service experience
Basic typing at 45 WPM
Basic ten key skills
Computer skills within a Windows environment
Experience with multiple computer applications/operating systems
Experience with office machines
Knowledge of HIPAA and confidentiality requirements
Knowledge of insurance payer regulations and requirements
Knowledge of patient rights
Knowledge of revenue cycle components and his/her role in the ability to impact the overall process
Knowledge of the impact of accurate registration has on patient satisfaction
Analytical skills to solve simple to semi complex problems
Organization, prioritization and time management skills
Ability to concentrate and pay close attention to detail
Ability to multi-task
Flexibility to facilitate change
Ability to maintain composure in a position that has considerable deadlines, customer contact and high volumes of work

Nice To Haves

Medical Terminology
CPT and ICD-10 coding
For Cancer Center ONLY: Associate's degree in related field, or 2 years related experience and/or training in a healthcare environment (would consider 2 years of experience in a business office setting)
Certified Healthcare Access Associate (CHAA)

Responsibilities

Ensuring the efficient and effective flow of patient access needs throughout the organization
Greeting and registering patients accurately and efficiently
Gathering and entering appropriate demographic and insurance/billing information
Verifying insurance eligibility using online systems
Scheduling appointments
Providing patients with financial information and price estimates
Collecting and entering payments, following required balancing procedures
Analyzing, interpreting and entering physician orders
Scanning and indexing forms
Scheduling and communicating appointment information accurately and efficiently for multiple facilities and ancillary departments
Verifying insurance for scheduled and urgent emergent patients following guidelines established per payer and obtaining authorization based on payer specific criteria
Accurately completing assigned work queues
Identifying financial counseling needs
Maintaining confidentiality in verbal, written and electronic communication
Following established processes, protocols, and workflows
Taking initiative to resolve problems and meet patient needs
Assist employees and visitors with any concerns they might have (for Cancer Center ONLY)
Assume overall responsibility for the safety and security of designated areas (for Cancer Center ONLY)
Monitor security cameras (for Cancer Center ONLY)
Identify potential security risks and respond accordingly (for Cancer Center ONLY)