Lead Patient Access Representative - Admitting

Lead Patient Access Representative

Location: Sioux Center, IA

Worker Type: Regular

Work Shift: Rotating days/evenings/nights/weekends/holidays (United States of America)

Discover a Career of Faith and Healing: For over 70 years, Sioux Center Health has served patients with Jesus' healing ministry. With eight locations located in Sioux Center, Iowa and surrounding communities, we take great pride in providing superior care in our state-of-the-art facilities.

A Career that You Will Love: There's no other way to say it: You will love working here. Between our strong mission and our great people, we have nurtured a pretty exceptional culture at Sioux Center Health.

A Chance to Make a Difference: Working with us means making a real difference in the lives of our community members. Your talents and your passions are truly appreciated here. In addition to the service we provide, Sioux Center Health also supports our community with sponsored programs and events, and other volunteer work. If this is your passion, you need to consider joining our team driven to provide quality care and services within a caring Christian culture.

Position Highlights

At Sioux Center Health, our people are the heart of everything we do. Guided by a strong mission and a commitment to exceptional care, we've built a stable, thriving organization where employees make a meaningful difference. Our dedication to excellence is reflected in the recognition we have earned. Sioux Center Health has been named a Top Workplace in Iowa, received Best of the Northwest honors in 13 categoriesincluding Best Place to Workand earned a Five-Star Patient Survey Rating from the Centers for Medicare & Medicaid Services (CMS). We have also been recognized as a Chartis Top 100 Critical Access Hospital and Top Hospital in Iowa. Our Care Center has received the LeadingAge Excellence in Workplace Award, reflecting our commitment to creating a positive environment for both residents and employees. Beyond our organization, you'll find an outstanding community to call home. Sioux County was ranked #4 in the nation among the Healthiest Communities by U.S. News & World Report and CVS Health, reflecting the high quality of life and strong community values that make this region a great place to live, work, and grow.

Summary

The Lead Patient Access Representative is responsible for reviewing and editing patient accounts to correct and reduce errors and to ensure timely processing of claims. This position requires independent judgment and a working knowledge of department procedures related to work performed in order to contribute to the efficient operation of the department.

General Hours of Work

• As determined (day, evening, night, rotating weekends)

Education and/or Experience

• High school diploma or general education degree (GED); or one or more years of related experience and/or training; or equivalent combination of education and experience preferred. Bi-lingual experience preferred but not required.

Essential Functions

• Answers incoming email requests from various areas throughout the hospital to make edits to patient accounts.
• Answer incoming overflow calls, screening as necessary and transferring appropriately. Greets and directs employees, visitors, patients, business representatives and the general public arriving at the facility. Provides general information regarding the facility and department functions and procedures.
• Run and follow-up on reports assigned by coordinator or manager.
• Meditech Account Checks follow-up.
• Returned mail fixes and tracking.
• Review denials report and look into accounts for follow-up.
• Communicates with team members throughout various areas within the facility; use of telephone, mobile communication, computer and other office related equipment for this purpose. Operates overhead page system.
• Processes daily patient admissions and patient transfers within the facility, interviews patients or relatives regarding personal and insurance information; instructs patients and relatives of related policies and procedures; records and types patient and insurance information and obtains appropriate signature. Ensures all the necessary consents and HIPAA forms are signed and completed. Must be able to maintain strict confidentiality of patient information.
• Preparation of future work for next day's patient schedules. This may include pre-registration, insurance eligibility checks, gathering of appropriate forms for privacy, consent and signature and reminder phone calls.
• Processes documents of straightforward nature requiring somewhat expanded knowledge of procedures; check documents for accuracy and completeness of specific entries; maintains files and records of documents processed for ready access; records data onto documents according to standard procedures related to work performed.
• Notifies nursing staff of patient arrival and routes patient to waiting, testing or therapy areas as necessary; if the patient is to be admitted, notifies nursing staff of patient's arrival and finds an escort for patient to the appropriate area
• Must be willing and able to perform under the pressure associated with various situations.
• Performs other duties and responsibilities as assigned.