Registry Patient Access Rep

Emory•Decatur, GA

19h

About The Position

Obtains demographic and insurance information for preregistration and registration, communicates hospital financial policies, identifies patients who need early financial counseling, and collects self-pay amounts, copayments, and deductibles. Documents financial arrangements, schedules procedures and follow-up appointments, and verifies demographic data for hospital visits. The role also performs benefit verification, order entry, and precertification for hospital services, and obtains precertification and managed-care referrals for inpatient and outpatient encounters. The position provides patients with examination information and communicates with physician offices, staff, and other departments. It requires a thorough understanding of insurance, registration, scheduling, referrals, authorizations, and account follow-up. The employee cross-trains in other Access Departments and facilities, assists with departmental workflow as needed, and performs other duties as required. The role requires a self-motivated person able to handle high patient volumes and a fast-paced environment, with familiarity with HealthQuest, Global Patient Registration (GPR), IDX Scheduling, Millennium, the chosen Hospital Estimation Tool, and other Patient Access systems.

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 work in a fast-paced environment.
Familiarity with HealthQuest, Global Patient Registration (GPR), IDX Scheduling, Millennium, the chosen Hospital Estimation Tool, and other Patient Access systems.
Familiarity with Advance Beneficiary Notice, precertification, ICD-9 coding, and medical terminology.

Nice To Haves

Knowledge of Medicare, Medicaid, and other commercial payers, including HMO and PPO plans.
CHAA (Certified Patient Access Associate), CPAR (Certified Patient Account Representative), and/or CFC (Certified Financial Counselor) certification.
Associate's, bachelor's, or master's degree may be accepted in lieu of certification requirements or experience.

Responsibilities

Obtain demographic and insurance information for preregistration and registration.
Communicate hospital financial policies to patients.
Identify patients who require early financial counseling intervention.
Collect self-pay amounts, copayments, and deductibles, and document financial arrangements.
Schedule procedures and follow-up appointments in General Patient Registration Millennium Scheduling.
Review demographic data for hospital visits and complete demographic and insurance information.
Provide patients with examination information.
Obtain precertification and/or managed-care referrals for inpatient and outpatient encounters.
Perform verification of benefits, order entry, and precertification 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 knowledge of insurance, registration, scheduling, referrals, authorizations, and account follow-up.
Perform other duties as required.