Registry Patient Access Representative

Emory Healthcare•Lithonia, GA

About The Position

The Registry Patient Access Representative obtains and reviews patient demographic and insurance information for 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 and schedules procedures and follow-up appointments. The representative supports patient access operations by verifying benefits, entering orders, obtaining precertifications and managed-care referrals for inpatient and outpatient encounters, and providing patients with examination information. The position requires familiarity with insurance, registration, scheduling, referrals, authorizations, account follow-up, and relevant patient-access systems. 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. This is a fast-paced role requiring someone who is self-motivated and able to handle high patient volumes.

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.
Able to handle high patient volumes and work at a fast pace.
Associate's, bachelor's, or master's degree may be accepted in lieu of certification requirements or experience.

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.

Responsibilities

Obtain demographic and insurance information for patient preregistration and registration.
Communicate the hospital's financial policies to patients.
Identify patients who require early financial counseling intervention.
Collect amounts due on self-pay accounts, copayments, and deductibles.
Document financial arrangements.
Schedule procedures and follow-up appointments, including in General Patient Registration Millennium Scheduling.
Ensure and review demographic data for hospital visits.
Cross-train in other Access Departments and Facilities.
Assist with departmental workflow as needed.
Maintain knowledge of insurance, registration, scheduling, referrals, authorizations, and account follow-up.
Provide patients with examination information.
Communicate with physician offices, staff, and other departments.
Obtain precertification and/or managed-care referrals for inpatient and outpatient encounters.
Perform verification of benefits, order entry, and precertification for hospital services.
Maintain familiarity with HealthQuest, Global Patient Registration (GPR), IDX Scheduling, Millennium, the chosen Hospital Estimation Tool, and other Patient Access systems.
Perform other duties as required.