Patient Access Representative

ABOUT CAMPBELL COUNTY HEALTH

Campbell County Health (CCH) is more than just a hospital—we are a comprehensive healthcare system serving northeast Wyoming. Our organization includes Campbell County Memorial Hospital, a 90-bed acute care community hospital in Gillette; Campbell County Medical Group, featuring nearly 20 specialty and primary care clinics—including locations in Wright and Hulett; and The Legacy Living & Rehabilitation Center, a long-term care facility.

To be responsive to our employee’s needs we offer:

• Generous PTO accrual (increases with tenure)
• Paid sick leave days
• Medical/Dental/Vision
• Health Savings Account, Flexible Spending Account, Dependent Care Savings Account
• 403(b) with employer match
• Early Childhood Center, discounted on-site childcare
• And more! Click here to learn more about our full benefits package

JOB SUMMARY

Performs routine registration, data collection, and administrative tasks to admit patients to a healthcare facility. Inputs patient demographic information into the designated system, collects and validates insurance or financial information. Reviews paperwork and obtains all necessary consents and signatures from patients or family. Explains the facility's policies and procedures and answers routine questions. Follows all established policies and standards to preserve patient confidentiality, ensure data security and comply with all applicable regulations.

ESSENTIAL FUNCTIONS

• Answers, screens, and routes all incoming calls professionally in a timely manner, functioning as a central communication source for the clinic, patients, patients’ family physician, and external sources. Responds to voicemails daily.
• Exhibits pleasant interpersonal skills in greeting patients at office and on telephone.
• Ensures superior ongoing patient satisfaction and customer service
• Is proficient in EHR applications
• Creates appropriate tasks for clinical staff, to achieve timely follow up.
• Accurate interview and registration of new patients as well as updating demographic and insurance information on established patients.
• Accurate input of demographic, guarantor, and insurance information into HER.
• Obtains signature(s) of patient and/or responsible parties on consent, insurance and payment policies and procedures.
• Communicates to the patients the details of consents, filing of insurance, and payment of services. Assists patients in understanding billing and collection of payment.
• Collects and scans insurance cards or completed insurance forms from patients.
• Identifies, follows up and secures missing (and incorrect) patient and insured party information for clean claim processing.
• Scheduling patients for office appointments, maintaining parameters of provider schedules and following clinic standards and guidelines.
• Cashier duties including maintaining cash box and daily cash reconciliation.
• Verifies Insurance eligibility for all patient’s appointments 2 days prior to appointment.
• Collects co-payments, co-insurance amounts, and/or time of service payments at the time of check-in, including self-pay discount and forwarding adjustment form to PFS for processing.
• Makes appointment reminder calls.
• Destroys confidential information per HIPAA guidelines.
• Secures confidential items nightly, including Electronic Health Records (EHR), paper Medical Records.
• Maintains phone system including message retrieval, and controls day and night mode functions.
• Actively participates in Strategic Quality Management for the department and organization. Actively participates in Customer/Guest Relations and Mandatory Education programs.
• Must be free from governmental sanctions involving health care and/or financial practices.
• Complies with the hospital’s Corporate Compliance Program including, but not limited to, the Code of Conduct, laws and regulations, and hospital, department and clinic policies and procedures.
• Other duties as assigned. This list is non-exhaustive.

JOB QUALIFICATIONS

• Education
  • High school diploma or GED required.
• Licensure
  • None
• Certifications required
  • None
• Experience
  • Experience in Healthcare related field preferred.