Summary:
Patient Access representatives facilitate a welcome and easy access to the facility and are responsible for establishing an encounter for any patient who meets the guidelines for hospital service. Patient Access staff ensures that all data entry is accurate including demographic and financial information for each account. Patient Access has numerous procedural requirements including data elements, insurance verification, authorization for services, and collections for all patient portions including prior balances. Patient Access staff is responsible for the successful financial outcome of all patient services. Patient Access communicates directly with patients and families, physicians, nurses, insurance companies and third party payers.
This position requires professional appearance, behavior, and good communication skills. Patient Access representatives require dependability, flexibility, and teamwork. This advanced level position is expected to demonstrate knowledge and competency of Patient Access duties in multiple areas, including a demonstrated ability to use good judgment in making independent decisions to resolve customer issues in all routine operations. This position is also expected to assist in the development of other associates.
Responsibilities:
• Accurately inputs all required data elements for scheduling and registration, including patient demographic, financial information, guarantor information, and relevant notes associated with the encounter.
• Verifies eligibility and obtains necessary authorizations for services rendered.
• Calculates and collects the estimated patient portion based on benefits and contract reimbursement as well as prior balances.
• Performs financial assessment for appropriate program assistance.
• Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents.
• Represents the Patient Access department in a professional, courteous manner at ALL times.
• Required to assist the hospital in the event of an internal or external disaster.
• Demonstrates flexibility in meeting the needs of the department to accommodate patient volume in all areas of the hospital. This may require assignment to another area of the department, and shift change.
• Supports the department in achieving established performance targets.
• Serves as a resource in the development, mentoring and training of other associates.
• Applies principles of process improvement to enhance department outcomes.
• Demonstrates contribution and achievement of collection initiatives.
• Promotes department policies and procedures.
• Completes required training as needed.
• Performs all other duties as assigned.
Requirements:
A. Education
• High school diploma or equivalent required.
• Associate Degree preferred with emphasis in health/business related field.
B. Skills
• Demonstrate proficiency and superior knowledge of Patient Access operations
• Exhibit knowledge and compliance of regulatory requirements in Patient Access
• Excellent communication and organizational skills
• Demonstrate excellent customer service skills
• Apply principles of process improvement methodologies
• Recognized ability to develop, mentor and train other associates
• Must be able to follow detailed instructions and perform repetitious tasks
• Computer/basic keyboard skills, telephone skills, and general knowledge of office machines including printers, fax, copier, scanner.
• Proficient in office automation applications such as Microsoft Office
• Skilled in interpreting and analyzing data
• Demonstrated contribution and achievement of department collection initiatives
• Ability to read, comprehend and retain information
• Perform mathematical calculations proficiently
• Knowledge of basic medical terminology required
C. Experience
• Three years’ experience in hospital registration or a comparable position.
D. Licenses, Registrations, or Certifications
• Certified Healthcare Access Associate through National Association of Healthcare Access Management (NAHAM) required.
• AAHAM Certified Revenue Cycle Specialist-Institutional CRCS-I considered for certification pay. Associate must be in good standing and deemed eligible by management to be considered.
Work Type:
Part Time
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249127
Patient Access Representative Sr, Admitting - Part time
CHRISTUS Southeast Texas Health System
Revenue Cycle
CHRISTUS Southeast Texas St. Elizabeth
CHRISTUS Southeast Texas St. Elizabeth
2830 Calder Avenue
Beaumont, TX 77702
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