Patient Access Representative Jobs

About The Position

Requirements

• Bilingual Spanish proficiency is required.
• High school diploma or equivalent level of training.
• Hospital registration or physician office front desk experience.
• Strong attention to detail and ability to work in a fast-paced environment.
• Practical experience in registration, collections, and insurance verification is preferred; 1–3 years is stated in the job summary.

Nice To Haves

• Some college preferred.
• Practical experience in registration, collections, and insurance verification is preferred.

Responsibilities

• Collect complete and accurate patient demographic, contact, guarantor, insurance, and physician information, and enter it into the system within established time frames.
• Verify insurance eligibility and benefits, and obtain required referrals, pre-certifications, and authorizations; scheduled patients' requirements must be completed no later than 24 hours in advance.
• Enter complete insurance verification information.
• Obtain and scan copies of both sides of insurance cards and a copy of the patient's picture ID when the patient presents for service.
• Provide and explain registration documents, including general consent forms, advance directive information, patient rights information, and privacy notices.
• Ensure completed registration documents and orders accompany the patient to the appropriate area.
• Conduct a self-audit of registrations before the end of each shift to ensure information is accurate and complete.
• Use Compliance Advisor functionality for Medicare compliance and enter diagnoses according to prescriptions to check for ABN compliance.
• Ensure each registration has the correct procedure and diagnosis, no rule-out diagnosis, the physician's printed name and address on the prescription or referral, and the physician's signature when indicated.
• Help patients understand their insurance benefits and explain hospital financial and deposit policies, including up-front collections; follow collection guidelines and collect and disburse revenue.
• Maintain compliance with Patient Access processes and applicable federal, state, and local laws and regulatory standards, including ACHA, HIPAA, Medicare, Medicaid, EMTALA, and COBRA.
• Demonstrate flexibility and perform multiple functions within the Patient Access department, including cross-trained duties across assigned areas.

Benefits

• Health benefits
• Life insurance
• Long-term disability coverage
• Healthcare spending accounts
• Retirement plan
• Paid time off
• Pet insurance
• Tuition reimbursement
• Employee assistance program
• Wellness program
• On-site housing for select positions