Patient Access Representative

Job Purpose & Position Overview

The purpose of this position is to function as a Patient Access Representative (PAR) responsible for the clerical and administrative support including registration and eligibility services, which is the key point for interaction with patients to obtain and process demographic and insurance information. The Patient Access Representative in both Outpatient Clinic and the Emergency Department are responsible for the comprehensive and compassionate collection of all demographic, third party resources and clinical information necessary to effectively register a patient for services at Twelve Clans Unity Hospital.

Specific Job Duties/Responsibilities:

• Perform a variety of support duties that facilitate the work of physicians, physician assistants, nurses, and other staff of the hospital which consist of the following:

Patient Registration:

• Assists in accomplishing the work of the department by receiving and relaying incoming/outgoing telephone, intercom, and electronic messages.
• Maintains appointments and clinic availability listing by use of the RPMS and Moonwalk scheduling package, reviews for completeness and accuracy of data and ensures signatures on all required documents.
• Interviews patients to obtain information to determine eligibility and initiate a new health record and/or reactivate a retired record. Collect and verify third party eligibility coverage. Prepare charts and assist with monthly reports to Supervisor as requested. Maintains patient confidentiality at all times.
• The Patient Access Representative must be proficient in accessing the correct medical record number on each patient to avoid creating duplicate medical record numbers. Accuracy of data entry is of utmost importance.
• Performs other duties as assigned.

Alternate Resources:

• Works closely with Patient Benefits Coordinators in the identification of patients who may be eligible for third party resources.

Qualifications/Skills:

• High School Diploma or Equivalency plus experience in a healthcare profession - preferred
• Knowledge of the eligibility requirements of the Winnebago Comprehensive Healthcare System program
• Demonstrated knowledge of medical terminology - preferred
• Knowledge of multiline telephone system
• Knowledge of third-party resources (Medicaid, Medicare, Veterans Benefits, SSI, etc.) in order to make referrals to the Patient Benefits Coordinator and be able to respond to patient inquiries
• Knowledge in practical use of electronic systems to provide general clerical office support
• Knowledge of patient registration systems
• Strong organizational and multi-tasking skills
• Proven ability to handle confidential information with discretion, be adaptable to various competing demands, and demonstrate the highest level of customer/client service and response

Training Requirements:

• As required to remain proficient in position and/or to meet requirements

Physical Requirements:

• Normal to light office work which includes the ability to lift up to 10 lbs.
• Regularly required to walk, stand, and sit for extended periods of time and use hands to operate computer keyboard, phone, and various office equipment.

Cognitive Requirements:

• Reading, writing, calculating.
• Excellent social interaction skills.
• Ability to reasoning, understand and analysis project data.
• Ability to work effectively both independently and as a team.

Language Requirements:

• Must possess the ability to read, write, and speak the English language fluently.
• Must be able to continually and effectively employ professional verbal and written communications skills.

Certificates, Licenses & Registrations:

• All applicants will comply with 45 CFR 1301, Subpart D, Section 1301.31, C and D, which require all prospective employees to sign a declaration prior to employment regarding all arrests and convictions of child abuse or violent felonies and to comply with PL 101-630 and PL 101-637 regarding criminal records check.

Please note the position description duties, responsibilities, and activities may change at any time with or without notice.

WCHS is an equal opportunity employer.

All applicants must comply with 45 CFR 1301, Subpart D, Section 1301.31 C and D, which require all prospective employees to sign a declaration prior to employment regarding all arrests and convictions of child abuse or violent felonies and comply with PL 101-630 and PL 101-637 regarding criminal records check. As provided by Federal Law, all qualified Native American and Veteran applicants shall receive preference over Non-Native American applicants. In the absence of qualified Native American applicants, consideration will be given to all other applicants without regard to race, color, religion, gender, gender orientation/identity, national origin, age, marital status, veteran status, genetic information, disability or any other reason prohibited by law in provision of employment opportunities and benefits. WCHS participates in E-Verify.