Second Shift Patient Access Representative

Description

- Opening is in Emergency Department Registration area at a hospital in Detroit

- 2nd shift 3:00pm-11:30pm Monday - Friday and every other weekend. They also rotate holidays

- They will need to be flexible for training and open to training on 1st, 2nd or 3rd shift.

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JOB SUMMARY

- Performing scheduling, registration, patient pre-admission and admission, reception and discharge functions

- Must obtain complete and accurate patient demographic information

- Patient Access representatives also must employ proper, compliant patient liability collection techniques before, during & after date of service.

- Completes full patient registration at date of service, adheres to financial & cash control policies & procedures, thoroughly explains and secures hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.).

- Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services.

- Assist with scheduling diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed).

- Educates patients about patient financial liabilities, employs proper, compliant patient liability collection techniques before, during & after date of service

- Performs hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.

- Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors.

- May also assist with scheduling and coordinating post discharge care for patients.

Skills

Customer service, Data entry, medical insurance, Patient access, Medical terminology, Health care, Call center, Medical, Patient registration, Patient scheduling, Insurance

Top Skills Details

Customer service,Data entry,medical insurance

Additional Skills & Qualifications

▪ Minimum typing skills of 35 wpm

▪ Demonstrated working knowledge of PC/CRT/printer

▪ Knowledge of function and relationships within a hospital environment preferred

▪ Customer service skills and experience

▪ Ability to work in a fast paced environment

▪ Ability to receive and express detailed information through oral and written communications

▪ Understanding of Third Party Payor requirements preferred

▪ Understanding of Compliance standards preferred

▪ Must be able to perform essential job duties in at least two Patient Access service areas including ED.

▪ Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors.

▪ Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy.

▪ Must be able to appropriately interpret physician orders, medical terminology and insurance cards

Experience Level

Intermediate Level