Patient Access Representative

Patient Access Representative

Schedule: Part-Time, 40 hours per pay period

Job Summary:

Registers/Pre-Registers patients to receive medical services in clinic, laboratory, inpatient, outpatient or emergency department. Obtains demographic information, validates insurance and receives/posts payments. Provides estimates when appropriate. Answers and/or refers questions from patients, visitors or staff to appropriate department. Learns the Switchboard system as registration is responsible for all calls coming in and directing to correct department. Always shows a professional image including respect and value for our customer.

Duties:

• Performs a variety of face-to-race registrations, pe-registration, walk in outpatient scheduling, and collection functions for all patients including self-pay patients.
• Utilize electronic insurance verification system to verify insurance benefits and determine copay and/or coinsurance for the patients’ services; ask all eligible patients for copays and/or coinsurance to meet monthly Point of Service goals.
• Contacts patients via phone for necessary information pertaining to registration, billing and financial responsibility via our pre-registration process.
• Assists patients at time of service with general benefit and financial responsibility inquiries and posts payments to patient accounts as appropriate.
• Manages time effectively to perform complete registration questionnaires while meeting departmental productivity standards in compliance with system productivity policies. Uses time to complete other departmental duties when patients cannot be registered.
• Maintains high attention to detail by reviewing all work for completeness and accuracy in compliance with system quality assurance policies. Completes registration to meet department accuracy standards for error-free work as demonstrated on the monthly KPI (Key Performance Indicators).
• Understand Basic Registration Processes and provide feedback to management on issues that impede timeliness or quality or registration and work with management to resolve.
• Independently review assigned reports/work queues to ensure goals and deadlines are met.
• Maintains current knowledge of insurance requirements communicated by email, memorandum, educational materials and in-services.
• Seeks assistance from Financial Counselors when needed to maintain patient flow while resolving financial issues. Communicates effectively with service delivery areas when unresolved financial issues threaten appointment schedules.
• Respects the rights and dignity of all patients. Provides and maintains patient privacy at all times. Is compliant with HIPPA guidelines and privacy practices, patient confidentiality and patient rights.
• Escorts customer/employees to their requested location when possible (site specific).
• Immediately approaches a customer or employee who seems lost and offers assistance.
• Takes ownership of customer’s problem. Ensues the matter is resolved in a timely manner if able or exculpate to the appropriate department.
• Functions as a team member to organize and prioritize responsibilities to complete daily work requirements.
• Complies with changes in duties and assignments in a positive cooperative manner.
• Adjusts to peaks in workload, demonstrates flexibility and adaptability to change.
• Completes assignments in appropriate time frames.
• Offers assistance to co-workers to ensure completion of all assigned duties as necessary
• Performs duties in a self-directed manner with minimal supervision
• Demonstrates a positive supportive, respectful and helpful attitude in interactions with all department customers (patients, physicians, visitors, and other healthcare team members)
• Assist management with training new staff as necessary.
• Other duties as assigned including the hospital switchboard.

Qualifications:

• Able to provide eligibility for employment for any U.S. employer
• High school diploma or general education degree (GED) required
• 1 year of medical registration, customer service or collection experience preferred
• Previous experience performing insurance verification is a plus
• Ability to maintain a high level of confidentiality and professionalism at all times
• Detailed oriented, conscientious and committed to precision in work results
• Ability to relate to and work effectively with a wonderfully diverse populace
• Exceptional phone and interpersonal skills
• Proficiency with computers, preferably strong typing and desktop navigational skills
• Ability to multitask and move between responsibilities in fluid manner
• Ability to independently problem solve
• Great data entry skills
• Demonstrated skills in verbal and written English communications for safe and effective patient care to meet documentation standards
• Friendly, empathetic and respectful
• Reliable in work results, timeliness and attendance
• Able to work in a fast-paced and stressful environment while maintaining positive energy
• Able to work under pressure and in situations that benefit from patience, tact, stamina and endurance
• Committed to contributing to a positive environment, even in rapidly changing circumstances
• Is aware of standards and performs in accordance with them

Physical Requirements:

Wearing Personal Protective Equipment to include gloves, face mask and goggles (if applicable) as recommended by CDC
Occasionally lifts/carries/pushes/pulls up to 25 pounds. Frequent, prolonged standing/walking/sitting.

OSHA Exposure Classification:

Benefits for our Full Time Team Members:

• Comprehensive health, dental, and vision insurance coverage
• Paid time off, including vacation, holidays, and sick leave
• 401K plan available
• Short & Long Disability, and Life Term insurance, complementary of Full Time Employment
• Additional Supplementary coverages offered @ employee's elections: Accident, Critical Illness, Hospital Indemnity, AD&D, etc.

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or other status
protected by applicable law.

Insight is an Equal Opportunity Employer Workplace