Registry Patient Access Representative

Emory•Atlanta, GA

1d•Onsite

About The Position

This position is responsible for obtaining demographic and insurance information for preregistration/registration on all patients. The role involves communicating the hospital's financial policies, identifying patients needing early financial counseling, and collecting self-pay accounts, co-pays, and deductibles. The representative will document financial arrangements, schedule procedures and follow-up appointments, and ensure all demographic data for hospital visits is accurate. Cross-training in other Access Departments and Facilities is expected, along with assisting with departmental workflow as needed. A thorough understanding of insurance, registration, scheduling, referrals, authorizations, and account follow-up is maintained. The role requires familiarity with Advance Beneficiary Notice, precertification, ICD-9 coding, and Medical Terminology. Communication with physician offices, staff, and other departments is essential. Responsibilities include obtaining pre-certification and/or managed care referrals for inpatient and outpatient encounters, performing verification of benefits, order entry, and pre-certification for Hospital Services. The position demands a self-motivated individual capable of handling high patient volumes in a fast-paced environment. Familiarity with HealthQuest, Global Patient Registration (GPR), IDX Scheduling, Millennium, chosen Hospital Estimation Tool, and other Patient Access systems is required.

Requirements

High school diploma or equivalent.
At least 2 years healthcare related or customer service experience.
Typing skills with a minimum of 35 wpm.
Good communication skills.

Nice To Haves

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

Responsibilities

Obtains demographic and insurance information for preregistration/registration on all patients.
Communicates hospital's financial policies to all patients.
Identifies patients who require early financial counseling intervention.
Collects on self pay accounts, co-pay and deductibles.
Documents financial arrangements.
Schedules procedures/follow up appointments.
Ensures and reviews all demographic data for hospital visits.
Cross trains in other Access Departments and Facilities.
Assist with departmental workflow as needed.
Maintains thorough understanding of insurance, registration, scheduling, referrals, authorizations, and account follow-up.
Schedules procedures/follow up appointments in General Patient Registration Millennium Scheduling.
Completes demographic and insurance.
Provides patients with exam information.
Familiar with Advance Beneficiary Notice, precertification, ICD-9 coding, Medical Terminology.
Communicates with Physician Offices, Staff, and other departments.
Responsible for obtaining pre-certification and/or managed care referrals for inpatient and out patient encounters.
Performs verification of benefits, order entry, and pre-certification for Hospital Services.
Performs other duties as required.