Patient Representative Jobs

About The Position

Requirements

• High school diploma or equivalent.
• At least one year of healthcare experience or equivalent education in Patient Access, Medical Records/Health Information, or applicable clerical support experience.
• Six months of customer service experience.
• Effective written and verbal communication skills.
• Critical-thinking and problem-solving skills.
• Ability to work efficiently with minimal supervision and exercise independent judgment within stated guidelines.
• Effective interpersonal skills that promote cooperation and teamwork.
• Ability to withstand varying job pressures and organize and prioritize related job tasks.
• Ability to perform multiple tasks at the same time.
• Excellent public relations skills and ability to communicate calmly, succinctly, and professionally.
• Ability to deal with people in emergent and/or stressful situations.
• Ability to identify alternative means of communication as needed.
• Ability to adapt to change.
• Keyboard skills and ability to navigate electronic systems applicable to job functions.
• Ability to use multiple applications, including electronic medical records, Microsoft Office applications, software, websites, and databases.
• Demonstrated understanding of complex collection issues.
• Ability to understand and adhere to EMTALA guidelines.
• Ability to communicate patient financial information, offer financial aid services, educate patients on eligibility and in-network and out-of-network status, and enroll patients in Presumptive Medicaid services through an eligibility questionnaire.
• Knowledge of medical terminology.

Nice To Haves

• Two years of college education, including satisfactory completion of college-level Health Records coursework.
• Previous registrar and third-party payor experience.
• Understanding of health plan and benefit structures.
• Knowledge of multi-payor systems and the ability to understand and apply e-coverage results.
• Knowledge of billing and collection, past balances, deposits, and applicable state and federal rules and regulations.

Responsibilities

• Greet, register, check in, and admit patients according to scope and service line.
• Collect patient demographics, identify medical providers involved in care, and document medical decision-makers.
• Verify insurance coverage and benefits and determine patient financial responsibilities.
• Help patients and families understand active insurance coverage and provide guidance on accessing financial and insurance resources.
• Offer self-pay information and applicable discounts.
• Collect copayments, coinsurances, deposits, and payments as appropriate.
• Collaborate with Revenue Cycle departments and hospital units to ensure accurate medical and financial records.
• Collect and submit required legal documentation to meet state and federal compliance regulations.