Lead Access Service Rep

Job Description

Leads and guides staff in admitting patients and providing information regarding hospital rules and regulations. Conducts interviews to obtain demographics and insurance information. Keys information into the Patient Registration System. Obtains appropriate signature on medical, legal and financial forms. Performs a variety of other clerical duties related to patient’s admission, including but not limited to, verification of patients insurance information and prior account balances, preparation of patient’s charts, and registration forms and addressograph plates.

Job Responsibility

1.Leads, guides and performs the duties of Access Service Representatives.
2.Admits patients to hospital and provides information regarding hospital regulations and policies (i.e. Patient Bill of Rights, Health Care Proxy etc.).
3.Conducts interviews to obtain demographics, insurance information etc. and enters data into hospital Patient Registration System.
4.Communicates hospital’s collection policy and collects deductibles and co-pay obligations.
5.Obtains appropriate signatures on medical, legal and financial forms. Prepares charts, registration forms, patient addressograph plates etc. Forwards required items to nursing unit/clinic.
6.Maintains manual bed board and reconciles daily census to nursing units. Notifies nursing unit of patients arrival and arranges to have patient escorted to their room.
7.Contacts insurance carrier(s) to obtain all information necessary for the successful billing of third party payors in certain departments (coordination of benefits, benefit coverage/limits, co-pay/deductible amounts, authorization, pre-certification and referral requirements etc.). Re-verifies insurance of recurring patients.
8.Performs financial assessments and Sliding Fee Scale Assessments of patients who are uninsured and/or are unable to meet their financial obligation to the hospital. Reevaluates sliding scale assignment annually.
9.Reconciles charge documents with patient logs and enters charges into the Patient Registration System.
10.Schedules patient for clinic visits, pre-admission testing, special tests and consultations, OR bookings and arranges patient transportation, as needed.
11.Responsible for answer telephone, maintaining files, sorting mail and keeping inventory of supplies. Informs manager of all activities, needs and problems.
12.Performs related duties, as required.
*ADA Essential Functions

Job Qualification

• High School Diploma or equivalent, required.
• Minimum two (2) years customer service experience, required.
• Data entry skills (80 keystrokes per minute), required.
• Must pass Site training program within the normal probationary period.
• Communicate effectively in English (speaking and reading).

*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).