Patient Access Representative I

Job Title

This position is responsible for completing the financial clearance process within Patient Access Services and creating the first impression of WTH's services to patients and families and other external customers.

Location: Dyersburg, Tennessee

Shift: 12 - Night (United States of America)

Essential Job Functions

• Process - Maintains the best practice routine per department guidelines.
• Daily work queues are maintained at acceptable levels according to department policies.
• Correspondence worked daily to current.
• Registration - Performs financial clearance process by interviewing patients and collecting and recording all necessary information for pre-registration and registration of patients.
• Ensures that proper insurance payer plan choice and billing address are assigned in the automated patient accounting system.
• Verifies relevant group/ID numbers.
• Completes the registration process according to established policies and procedures.
• Informs families with inadequate insurance coverage regarding financial assistance through government and financial assistance programs.
• Performs initial financial screening and refers accounts for financial counseling and/or appropriate eligibility assessments.
• Ensures all referrals and treatment authorizations for all patient types have been obtained according to the outlined requirements.
• If not obtained, contact payers for approvals.
• Completes initial medical necessity checks.
• Refers to the designated area if medical necessity fails or if referrals/authorizations are denied.
• Communication & Miscellaneous - Advises next-level leader of possible postponement or deferrals of any elective/non-emergent admission which has not been approved prior to service date.
• Maintains accurate files for pre-processing information as required.
• Investigates, resolves, and documents patient problems in a timely and efficient manner.
• Maintains accurate files for pre-processing information.

Job Specifications

Education:

• High School Graduate, or equivalent

Licensure, Registration, Certification:

• N/A

Experience:

• 1-2 years of health care or related experience preferred.

Nondiscrimination Notice Statement: We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, disability, religion, national origin, gender, gender identity, gender expression, marital status, sexual orientation, age, protected veteran status, or any other characteristic protected by law.