Pre-Access Representative

Missouri Delta Medical Center•Sikeston, MO

1d•Onsite

About The Position

The Hospital Registration/Pre-Access Representative is responsible for accurately and efficiently registering patients for hospital services while providing additional support to the Pre-Access function as assigned. The position supports the hospital’s front-end revenue cycle by ensuring patient demographic, insurance, eligibility, and financial information is complete and accurate prior to or at the time of service. The employee will primarily perform hospital registration duties, with designated Pre-Access responsibilities based on departmental needs and patient volume. The position requires strong attention to detail, excellent customer service, confidentiality, and the ability to work effectively in a fast-paced hospital environment.

Requirements

High school diploma or equivalent.
Ability to accurately enter information into computer systems.
Ability to maintain confidentiality and following HIPAA requirements.
Strong attention to detail.
Good written and verbal communication skills.
Ability to work independently and as part of a team.
Ability to manage multiple priorities in a fast-paced environment.
Ability to communicate effectively in person and by telephone.
Ability to use a computer and other standard office equipment.
Ability to work in a hospital environment and interact with patients, families, and healthcare professionals.
Ability to maintain accuracy and professionalism during periods of high patient volume.
Accuracy and attention to detail
Customer service
Confidentiality and professionalism
Communication
Teamwork
Organization
Problem-solving
Ability to prioritize and manage multiple tasks
Commitment to patient and organizational needs

Nice To Haves

Previous healthcare, hospital, medical office, registration, insurance, or customer service experience preferred.

Responsibilities

Accurately register and/or admit patients for inpatient, outpatient, and other hospital services.
Verify the patient’s identity using approved patient-identification procedures.
Obtain and accurately enter demographic, guarantor, insurance, and contact information.
Verify insurance coverage and eligibility using appropriate payer systems.
Obtain required insurance cards, identification, and other registration documentation.
Ensure required consents, notices, and registration forms are completed.
Identify and correct registration errors that could result in billing, claim, or clinical issues.
Follow hospital policies regarding patient confidentiality and HIPAA.
Collect applicable copayments, deductibles, deposits, or other patient financial responsibilities when appropriate.
Explain registration and financial requirements to patients in a professional and compassionate manner.
Assist patients and families with questions regarding the registration process and direct billing or financial questions to the appropriate department.
Maintain accurate documentation within the electronic medical record.
Communicate effectively with clinical departments, scheduling, Patient Financial Services, and other hospital departments.
Follow established downtime procedures when electronic registration systems are unavailable.
Maintain a clean, organized, and professional registration work area.
Review scheduled patients prior to the date of service.
Verify patient demographics and insurance information.
Verify active insurance coverage and eligibility using appropriate payer systems.
Contact patients when additional information or documentation is needed prior to their appointment.
Contact patients prior to their scheduled service to make them aware of their estimated patient financial responsibility, when applicable.
Document verification, authorization, patient financial responsibility, and patient-contact activities in the appropriate systems.
Communicate unresolved insurance or authorization issues to the appropriate Patient Access staff or supervisor.
Work assigned Pre-Access work queues and follow established departmental productivity and quality expectations.
Escalate accounts that require additional research or intervention.
Maintain a high level of registration accuracy.
Follow established Patient Access workflows, policies, and standard operating procedures.
Help reduce registration-related claim denials and billing delays.
Review registration information and maintain HIPAA compliance.
Participate in quality audits, education, and corrective training as requested.
Meet established productivity, accuracy, and quality expectations.
Provide courteous, respectful, and compassionate service to patients and families.
Maintain professionalism when working with patients who may be anxious, upset, or experiencing financial concerns.
Communicate clearly and respectfully with physicians, nurses, hospital staff, patients, and visitors.
Maintain patient confidentiality at all times.
Represent Missouri Delta Medical Center positively and professionally.