Patient Access Representative

Patient Registration Specialist

Under the general supervision of the Supervisor, interviews and registers all patients (Inpatient and Observation, Emergency, and Outpatients) to obtain demographic, third party insurance and related financial information, and enters to on-line computer system. Initiates, reviews and follows-up on patient accounts to ensure proper data collection for billing. Verifies all demographic and insurance information and obtains referrals as required.

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate.

Responsibilities include: Greeting and directing all patients, families and visitors in a prompt and courteous manner. Interviews patient or patient's representative in order to obtain complete and accurate third party health insurance and related personal/financial information. Follows-up on missing data by interviewing patients, families or calling employers, nursing homes and other facilities. Completes registration and enters all data obtained into hospital computer system. Prepares or completes manual records as follows: Ensures patient is properly identified in system per department policy. Verifies demographic and insurance information by asking open-ended questions. Registers all patients (Outpatient, ED, Inpatient and Observation) by entering and/or verifying demographic insurance information into hospital information system. Upgrades account to an active account status. Completes documentation required on financial clearance reports as indicated by Patient Advocate or Pre-Registration Office.

Minimum qualifications include: High school diploma or equivalent. Knowledge of medical terminology, third party insurance information and standard office computer applications required. Knowledge of third party payer, verification, and authorization process preferred. Typing and data entry skills required. Six to twelve months previous third party billing or hospital registration experience. Third party billing knowledge. Data entry skills and PC experience required.

Work environment and physical requirements include: Sitting for long periods of time at a workstation requiring the continuous use of a computer and telephone. May have to do moderate to excessive walking, depending on the location of the assignment. Ability to lift up to 10 pounds.