Patient Access Representative PRN

Overview Responsible for patient registration, admissions, and associated tasks which include information collection and validation, and requisitioning of orders and services. Insurance-related tasks include verification, collection of co-payments, and collection of associated paperwork. Performs administrative functions, scheduling, answering phones, and coordinating general requests. Responsibilities Registers patients and performs all registration-related functions, including explaining and obtaining all necessary patient consents and authorizations in a complete and timely manner, collecting financial paperwork (e.g., patient responsibility statement) and co-payments as required. Communicates effectively with patients to facilitate access to care by answering telephone and other communications in a timely, customer-service oriented manner; responds to inquiries and information needs, and follows up with responsible parties when information is not readily available. Resolves non-clinical questions within scope of knowledge while providing excellent customer service in person or by phone. Performs ongoing documentation audits for medical necessity, plan of care, and other related tasks or requirements by payors (e.g., Medicare) using computer-based systems. Schedules appointments for outpatient clinics and procedures as needed. Obtains prior health insurance authorization for outpatient procedures and inpatient stays as needed. Educates patients on pre-exam and, if necessary, post-exam requirements within scope. Organizes, generates, and distributes patient reminders, results, and recall letters. Establishes files, maintains information, and scans medical records in a timely and organized manner. Ensures the accuracy of medical record documentation by performing quantitative and qualitative audits. Manages, directs, and responds to incoming office correspondence (mail, email, faxes, telephone) and forwards queries to appropriate staff. Attends and provides feedback for departmental staff meetings. Role models the Principals of Family Hospital Management and Organizational Values. Ensures compliance with HIPAA, EMTLA, and Joint Commission requirements, providing required associated literature to patients. Performs other duties as assigned at the department and organizational level. Company Specific Adheres to dress code, maintains neat appearance, and wears appropriate identification while on duty. Completes annual health, safety, and education requirements. Maintains professional growth and development. Maintains confidentiality of all patient and/or employee information to protect rights. Demonstrates knowledge of growth and development principles to provide age-appropriate care. Reports to work on time as scheduled and adheres to absence notification policies. Attends mandatory in-services and staff meetings. Represents the organization in a positive and professional manner. Complies with organizational policies regarding ethical business practices. Communicates the mission, ethics, and goals of the hospital and the department focus. Maintains current licensure/certification for the position, if applicable. Consistently demonstrates Guest Relations skills to patients, physicians, visitors, employees, and others encountered. Follows department and hospital Health, Safety, Security, and Hazardous Materials policies and procedures. HIPAA: Conduct job responsibilities in accordance with privacy laws and hospital policy on patient confidentiality; identify issues and report to proper hospital personnel. Compliance: Conduct responsibilities in accordance with FHMC Code of Conduct, FHMC policies, applicable laws, and applicable standards. Maintains a courteous and respectful attitude toward colleagues and the public; avoids unprofessional language. Knowledge/Skills/Abilities Excellent oral and written communication and interpersonal skills. Problem-solving abilities. Professional and positive demeanor. Proficiency in Microsoft Office and data entry systems. Accuracy and attention to detail. Qualifications Education: High School diploma or GED required; associate degree or higher preferred. Licenses/Certification: BLS certification required; CHAA or CHAM preferred. Experience: 1 year of experience in an acute patient care setting preferred. #J-18808-Ljbffr Family Hospital Management Company