Registry Patient Access Rep

Emory Healthcare•Decatur, GA

16h

About The Position

The Registry Patient Access Rep obtains demographic and insurance information for patient preregistration and registration, communicates hospital financial policies, identifies patients who may need early financial counseling, and collects self-pay amounts, co-pays, and deductibles. The role documents financial arrangements, schedules procedures and follow-up appointments, reviews demographic data, and provides patients with exam information. It also handles verification of benefits, order entry, precertification, and managed-care referrals for inpatient and outpatient encounters. The position works with physician offices, staff, and other departments; cross-trains in other Access Departments and Facilities; and assists with departmental workflow as needed. The representative maintains working knowledge of insurance, registration, scheduling, referrals, authorizations, account follow-up, and the systems used by Patient Access. The role requires a self-motivated person able to manage high patient volumes and a fast-paced environment. Other duties may be assigned as 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 work at a fast pace.
Knowledge of Medicare, Medicaid, and commercial payers such as HMO and PPO plans is preferred.
CHAA (Certified Patient Access Associate), CPAR (Certified Patient Account Representative), and/or CFC (Certified Financial Counselor) certification is preferred.
An associate, bachelor's, or master's degree may be accepted in lieu of certification requirements or experience.

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.

Responsibilities

Obtain patient demographic and insurance information for preregistration and registration.
Communicate hospital financial policies and identify patients who need early financial counseling intervention.
Collect self-pay amounts, co-pays, 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 complete demographic and insurance information.
Provide patients with exam 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, account follow-up, and Patient Access systems.
Perform other duties as required.