Registry Patient Access Representative

Emory Healthcare•Atlanta, GA

17h

About The Position

The Registry Patient Access Representative 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, copayments, and deductibles. The representative documents financial arrangements, schedules procedures and follow-up appointments, reviews demographic data, and provides patients with examination information. The role includes obtaining precertifications and managed-care referrals for inpatient and outpatient encounters, verifying benefits, entering orders, and completing precertification for hospital services. The representative communicates with physician offices, staff, and other departments; cross-trains in other Access Departments and facilities; and assists with departmental workflow as needed. The position requires maintaining knowledge of insurance, registration, scheduling, referrals, authorizations, account follow-up, and Patient Access systems. 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.
Familiarity with Advance Beneficiary Notice, precertification, ICD-9 coding, and medical terminology.
Knowledge of HealthQuest, Global Patient Registration (GPR), IDX Scheduling, Millennium, a hospital estimation tool, and other Patient Access systems.

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.
An 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 patient preregistration and registration.
Communicate hospital financial policies to patients and identify those requiring early financial counseling.
Collect amounts due on self-pay accounts, copayments, and deductibles, and document financial arrangements.
Schedule procedures and follow-up appointments, including in General Patient Registration Millennium Scheduling.
Ensure and review demographic data for hospital visits and provide patients with examination information.
Obtain precertifications and managed-care referrals for inpatient and outpatient encounters.
Verify benefits, enter orders, and complete 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 systems used by Patient Access.
Perform other duties as required.