Patient Access Representative

Job Description

Job Description

Job Title: Patient Access Representative

Department: Front office

Reports To: Patient Access Lead-Department/ Facility Nurse Director- HR

FLSA Status: Non-Exempt

Position Summary: The Patient Services Representative properly greets and registers patients presented to the emergency room for evaluation and treatment, ensures organized and efficient registration and front office operations, and ensures payments due at time of services are collected and properly accounted for. The Patient Services Representative also assists the Administrator and other members of management in tasks relevant to Business Office operations.

Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform the following satisfactorily; other duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

· Scan patient chart attachments to the EMR to archive patient medical record and make such record available to for electronic retrieval and access.

· Support in the performance of various office duties such as filing, shredding, data entry as needed or required by administration.

· Front office registration duties such as data entry of patient demographic information, consents, and HIPAA paperwork, verification of eligibility and receipt of payment as needed.

· Assist in entering information on financial logs as needed for front desk operation.

· Assist in processing patient payment with operating credit card terminal, check terminals and/or properly log cash receipts into ledger as required by policy.

· Follows facility protocol to ensure that registration, insurance verification, and payment collection never delay a patient’s medical screening examination or stabilizing treatment.

· Provides patients with the facility’s required emergency-room and billing disclosures (including facility-fee and out-of-network notices) in accordance with Texas freestanding emergency facility law and company policy.

· Maintains confidentiality of patient related issues as outlined by HIPAA / HITECH and company policies.

· Works in cooperation with other administrative and facility staff to ensure compliance with HIPAA / HITECH rules and standards as applicable.

· Works in cooperation with facility Administration to ensure Business Office and associated departments operate within the compliance standard with Federal, State and applicable accrediting agencies.

· Comply with the guidelines set forth in the Infection Control and Prevention Plan and any applicable Center for Disease Control (CDC) requirements.

· Assist in the compilation and maintaining of financial reports, patient census and other reports as requested by Administrator.

· Reports any violations of policies and procedure, including any incidents of employee and / or patient safety to the Administrator.

· Works in cooperation with other administrative and facility staff to ensure overall departmental compliance topics and matters directly and indirectly related to quality assurance; risk management and life safety as applied to patient care and employee safety.

· Abides by the Safety and Environment of Care policies and procedures of the facility.

· Assists in maintaining adequate level of office supplies in for the registration department for efficient operations.

· Takes steps and performs duties to ensure that work area is clean and free from hazards. Reports equipment malfunctions and hazards to supervisor or EOC office.

· Must be able to work efficiently with various levels of management, vendors, a diverse workforce and patients from various demographic backgrounds.

· May be required to attend workshops and training classes as instructed by Administration.

· Abides by company policies and procedures and complies with all applicable State, Federal and local laws, requirements of all Federal and State regulatory agencies and requirements of any applicable accreditation agencies.

· To ensure that department is fully operational, performs department operation duties daily and as needed.

· In conjunction with the other administrative and other designated clinical staff, is engaged in work productivity in the freestanding emergency room.

· Maintains confidentiality of patient and employee related issues.

· Upholds and enforces patient rights.

· Position is subject to require overtime. Such position may include being required to work extended hours during the week, weekends, and holidays and during periods in which a state of emergency has been declared.

Competencies: To perform the job successfully, an individual should demonstrate the following.

Attendance/Punctuality - Arrives at meetings and appointments on time; Begins working on time; Ensures work responsibilities are covered when absent; Keeps absences within guidelines; Schedules time off in advance

Communications - Exhibits good listening and comprehension; Expresses ideas and thoughts in written form; Expresses ideas and thoughts verbally; Keeps others adequately informed; Selects and uses appropriate communication methods

Customer Service - Displays courtesy and sensitivity; Manages difficult or emotional customer situations; Meets commitments; Responds promptly to customer needs; Solicits customer feedback to improve service

Dependability - Commits to doing the best job possible; Follows instructions, responds to management direction; Keeps commitments; Meets attendance and punctuality guidelines; Responds to requests for service and assistance; Takes responsibility for own actions

Planning/Organizing - Integrates changes smoothly; Plans for additional resources; Prioritizes and plans work activities; Sets goals and objectives; Uses time efficiently; Works in an organized manner

Quality - Applies feedback to improve performance; Demonstrates accuracy and thoroughness; Displays commitment to excellence; Looks for ways to improve and promote quality; Monitors own work to ensure quality

Use of Technology - Adapts to new technologies; Demonstrates required skills; Keeps technical skills up to date; Troubleshoots technological problems; Uses technology to increase productivity

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or

ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:

· High School Graduate or GED equivalent, must be able to produce copy of diploma or official transcript

· College preferred but not required.

· Prior medical-office, clinic, or emergency-room registration experience preferred. Bilingual (English/Spanish) a plus.

Language Ability:

Read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Write routine reports and correspondence. Speak effectively before groups of customers or employees.

Mathematical Ability:

Add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals. Compute rate, ratio and percent, and draw and interpret bar graphs.

Reasoning Ability:

Apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Deal with problems involving several concrete variables in standardized situations.

Computer Skills:

Proficiency of Microsoft Office applications including Word /Excel / Outlook and internet navigation programs required. Experience with electronic health record (EHR) or practice-management / registration software preferred.

Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is frequently exposed to moving mechanical parts and risk of electrical shock. The employee is occasionally exposed to fumes or airborne particles; toxic or caustic chemicals and risk of radiation. The employee may be exposed to various contagious diseases or conditions that have the potential of being physically, emotionally, and/or psychologically harmful. The noise level in the work environment is usually moderate.

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Position, the employee is regularly required to sit, stand and walk for periods ranging from 6 to 12 hours at a time. Use hands and fingers, handle, or feel; reach with hands and arms; sit, climb or balance; stoop, kneel, crouch, or crawl; talk and hear. The employee must frequently lift and/or move more than 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

The above job description is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor.