Patient Access Representative Jobs

About The Position

Requirements

• High School diploma or GED required
• BLS certification required
• 1- year experience in an acute patient care setting preferred

Nice To Haves

• associate degree or higher preferred
• CHAA or CHAM preferred

Responsibilities

• Registers patients and performs all registration-related functions, including explaining and obtaining all necessary patient consents and authorizations in a complete and timely manner, collecting financial paperwork (e.g., patient responsibility statement, etc.), and co-payment as required
• Communicates effectively with patient to assist in access to care by answering telephone and other incoming communications in a timely and customer-service oriented manner; replying to inquiries, patient needs for information, and other parties clearly and in a timely manner; and, if information is not readily available, follows up with inquiries to responsible party
• Resolves all non-clinical questions within scope of knowledge while providing excellent customer service on the phone and/or in person
• Performs on-going documentation audits for medical necessity, plan of care, and other related tasks or requirements by payors, including Medicare, using a variety of computer-based systems
• Schedule appointments for outpatient clinics and procedures as needed
• Obtain prior health insurance authorization for outpatient procedure and inpatient stay as needed.
• Educate each patient with pre-exam and if necessary, post-exam requirements within scope
• Organizes, generates and distributes patient reminders, results, and recall letters
• Establishes files, maintains information, and scans medical records in a timely and organized manner
• Ensure the accuracy of medical record documentation by performing a quantitative and qualitative audit.
• Manages, directs and responds to incoming office correspondence as deemed appropriate, including mail, email, faxes, and telephone calls, and forward queries to the appropriate staff
• Attends and provides feedback for departmental staff meetings
• Role Models the Principals of Family Hospital Management and Organizational Values.
• Ensures compliance with all applicable HIPAA, EMTLA and Joint commission requirements, providing required associated literature to patients
• Performs other duties as assigned on department and organizational level.
• Adheres to dress code, appearance is neat and clean and wears appropriate identification while on duty.
• Completes annual health, safety, and education requirements.
• Maintains professional growth and development.
• Maintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected.
• Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age-appropriate care to the patient population served.
• Reports to work on time as scheduled; adheres to policies regarding notification of absence.
• Attends all mandatory in-services and staff meetings.
• Represents the organization in a positive and professional manner.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department.
• Maintains current licensure/certification for position, if applicable.
• Consistently demonstrates Guest Relation’s skills to patients, physicians, visitors, employees, and any other individuals with whom they may come in contact.
• Consistently follows departmental and hospital Health, Safety, Security, Hazardous Materials policies and procedures.
• Conduct job responsibilities in accordance with HIPAA privacy laws, follow hospital policy in provision of patient confidentiality.
• Able to identify patient confidentiality issues and reports to proper hospital personnel immediately.
• Conducts job responsibilities in accordance with standards set forth in FHMC Code of Conduct, FHMC policy and procedures, applicable federal and state laws, and applicable standards.
• Employee must maintain a courteous and respectful attitude toward fellow employees, staff, contractors, vendors and the public at all times.
• Employee must avoid loud, profane, or unprofessional language at all times during the performance of duties.
• It is immediate grounds for termination if Employee engages in misconduct or is incompetent or negligent in the proper performance of duties or is disorderly, dishonest, intoxicated, or discourteous.