Patient Access Representative

Job Title

Patient Access Rep II

Job Description

Responsibilities:

• Assist in the coordination, prioritization and completion of front-end patient registration activities ranging from pre-registration through discharge in the Patient Access Services Department.
• Prioritize work for optimal reimbursement and to avoid financial risk to both patient and hospital. Ensures all insurance requirements are met prior to or on the date of service and informs patients of their financial liability and collects liability due.
• Maintain thorough understanding of insurance, registration, scheduling, referrals, authorizations, and account follow-up.
• Maintain knowledge of multiple department system applications utilized by Patient Access. Familiar with and adheres to all state and federal regulations such as EMTALA, CMS, HIPAA, and JCAHO guidelines.
• Obtains appropriate signature(s) and scans all appropriate documents (Admission/Registration Agreement, Notice of Privacy Practice, and Important Message from Medicare, etc.).

Minimum Qualifications:

• High school diploma or equivalent.
• Must have at least 2 years healthcare related or customer service experience. Knowledge of Medicare, Medicaid, and other commercial payers (HMO, PPO) preferred.
• Associate or bachelor degree may be accepted in lieu of experience.
• Certified Healthcare Access Associate (CHAA) preferred. Typing skills with a minimum of 35 wpm and good communication skills.

Physical Requirements (Medium Max 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. Environmental factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at View email address on click.appcast.io. Please note that one week's advance notice is preferred.