Registry Patient Access Rep

Emory Healthcare•Atlanta, GA

About The Position

Obtains demographic and insurance information for patient preregistration and registration, communicates the hospital's financial policies, identifies patients needing early financial counseling, and collects self-pay amounts, copays, and deductibles. Documents financial arrangements and schedules procedures and follow-up appointments. Reviews demographic data for hospital visits and provides patients with exam information. The representative obtains pre-certification and managed-care referrals for inpatient and outpatient encounters, verifies benefits, enters orders, and completes pre-certification for hospital services. The role requires a thorough understanding of insurance, registration, scheduling, referrals, authorizations, and account follow-up, as well as familiarity with the systems used by Patient Access. The representative communicates with physician offices, staff, and other departments, cross-trains in other Access Departments and Facilities, and assists with departmental workflow. Other duties may be required.

Requirements

High school diploma or equivalent.
At least 2 years of healthcare-related or customer service experience.
Typing speed of at least 35 words per minute.
Good communication skills.
Ability to handle high patient volumes and a fast-paced work environment.

Nice To Haves

Knowledge of Medicare, Medicaid, and commercial payers, including HMO and PPO plans.
CHAA (Certified Patient Access Associate), CPAR (Certified Patient Account Representative), and/or CFC (Certified Financial Counselor) certification.
Familiarity with Advance Beneficiary Notice, precertification, ICD-9 coding, and medical terminology.
Familiarity with HealthQuest, Global Patient Registration (GPR), IDX Scheduling, Millennium, the chosen Hospital Estimation Tool, and other Patient Access systems.
An associate, bachelor's, or master's degree may be accepted in lieu of certification requirements or experience.

Responsibilities

Obtain demographic and insurance information for patient preregistration and registration.
Communicate hospital financial policies and identify patients who require early financial counseling.
Collect amounts due on self-pay accounts, copays, and deductibles, and document financial arrangements.
Schedule procedures and follow-up appointments in General Patient Registration Millennium Scheduling.
Ensure and review demographic data for hospital visits and provide patients with exam information.
Obtain pre-certification and managed-care referrals for inpatient and outpatient encounters.
Verify benefits, perform order entry, and complete pre-certification for hospital services.
Communicate with physician offices, staff, and other departments.
Cross-train in other Access Departments and Facilities and assist with departmental workflow as needed.
Maintain familiarity with insurance, registration, scheduling, referrals, authorizations, account follow-up, and Patient Access systems.
Perform other duties as required.