Registry Patient Access Rep

Emory•Atlanta, GA

About The Position

The Registry Patient Access Rep obtains demographic and insurance information for patient preregistration and registration, communicates hospital financial policies, identifies patients needing early financial counseling, and collects self-pay amounts, copayments, and deductibles. The role documents financial arrangements, schedules procedures and follow-up appointments, reviews demographic data, and provides patients with examination information. The position is responsible for precertification and/or managed-care referrals for inpatient and outpatient encounters, benefit verification, order entry, and precertification for hospital services. It communicates with physician offices, staff, and other departments, and requires familiarity with insurance, registration, scheduling, referrals, authorizations, account follow-up, and related systems. The employee may cross-train in other Patient Access departments and facilities and assist with departmental workflow as needed. This role requires a self-motivated individual 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 in a fast-paced environment.

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 and identify those who require early financial counseling intervention.
  • Collect self-pay amounts, copayments, and deductibles, and document financial arrangements.
  • Schedule procedures and follow-up appointments using 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.
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