Access Services Representative 3 - 6:30p to 7a - Thursday to Saturday
Baylor University Medical Center
Access Services Representative 3
The Access Services Representative 3 gets current and accurate demographics and insurance information to register patients. They verify insurance benefits, negotiate, and collect patient financial responsibilities. This position helps with special projects, account maintenance, and reports. It serves as a mentor or trainer to other employees and may cover supervisory assignments as needed.
Essential Functions of the Role
- Conducts and documents patient interviews to obtain demographic and financial data for registration, insurance verification, precertification and billing.
- Knows the patient flow processes in each area.
- Identifies process improvement opportunities that promote team concepts with co-workers while improving revenue cycle functions and the patient experience.
- Interacts regularly with other areas and departments to provide information on patient delays and schedule changes, both within and between departments.
- Verifies patient eligibility for insurance coverage and benefit levels for services. Calculates and collects patient liability due according to financial policies. Establishes patient liability and advises on deposit requirements per policy. Negotiates payment arrangements with the patient as needed per policy.
- Assists patients to nursing units by providing directions, personal escort, and/or medical mobility assistance (ex; wheelchairs), when applicable.
- Adhere to compliance for order validation, cash policy, Government Payor, and patient safety requirements for proper patient identification.
- Relying on assignment, may perform cashiering duties according to policies and procedures. May also verify all cash deposits.
- Conducts quality audits, provides help on special projects, account maintenance and reports.
- Functions as a super-user, formal trainer, and subject matter expert of the department. Monitors daily workflows and notifies management of trends. Communicates trends and monitors workflow for an optimal patient experience. Depending on the assignment, may serve in an interim position covering supervisory roles.
Key Success Factors
- 2 year of healthcare or customer service experience or education equivalency required.
- Proven ability to problem-solve, perform critical thinking.
- Proven to have good listening and communication skills, and professional telephone etiquette.
- Maintain a professional demeanor in stressful and emotional environments. This includes crime, behavioral health, suffering patients, and life or death situations.
- Must exhibit high empathy and communicate well with patients and families during trauma. Demonstrate exceptional customer service skills.
- Demonstrates ability to manage multiple, changing priorities in an effective and organized manner.
- Excellent data entry, numeric, typing and computer navigational skills.
- Basic computer skills and Microsoft Office.
Belonging Statement
We believe that all people should feel welcomed, valued and supported.
Qualifications
- Education - Associate's or 2 years of work experience above the minimum qualification
- Experience - 2 Years of Experience
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