Patient Access Representative - Peds 2nd Street

Health System Registration And Scheduling Specialist

This position is responsible to perform all registration, scheduling, order entry and reception functions and may float to various admitting site within the health system. This position expedites and provides healthcare access through the accurate gathering of demographic, sponsorship or guardian data, insurance, clinical, financial, and statistical information from a variety of sources, i.e. patients, patient's families, physicians, physician office staff, county and/or governmental agencies, CMS, FMS, etc. This position ensures reimbursement for services rendered through verification of insurance eligibility/benefits, obtaining insurance authorization within required time frame, identification and collection of patient financial obligation and accurate charge order entry. Serves the patient and family in such a manner as to make the admission process as comfortable and pleasant as possible.

The incumbent uses professionalism and diplomacy with interacting with patients of all ages, their families, physicians, physician office staff and other health care providers in the accurate collecting of demographic, clinical, and financial information in person or via telephone interviews. Takes an active role in decreasing accounts receivables by following established guidelines, regulations, policies and procedures during the registration process in accurately:

• Obtaining and accurately entering demographic, clinical, financial information into the computer system.
• Explaining and obtaining signatures on admission, clinical and financial forms
• Collecting accident information
• Identifying all insurance payer sources
• Identifying payer order sequence
• Verifying insurance eligibility
• Obtaining insurance notification
• Charge order entry processing
• Determining estimated cost for services being rendered
• Identifying and collecting patient financial obligation amounts, i.e. co-payments, co-insurance, deductibles, etc.
• Documenting all information collected timely and in accordance with department requirements.

Explores the financial need of the patient and when appropriate refers the customer to the appropriate federal, state, or county assistance agencies. The incumbent is responsible for scheduling, order entry and reception functions and assists in completion of departmental tasks. This position has the authority to solve problems following established company guidelines. Decisions that must be referred to a supervisor are matters that involve problems which can develop negatively towards the company, time off requests, sick time, work schedules, interoffice problems, etc.

Minimum Qualifications: Requirements - Required and/or Preferred

Name: Description

Education: Ability to read, write, speak, and understand English sufficiently to perform job duties safely and effectively. High School Diploma or GED preferred.

Experience: Requires six months of admitting, medical claims processing, professional office experience and/or customer service experience with financial interaction. One year preferred. Experience with Windows Operating systems, SMS InVision, Internet and SMS IMS Document Imaging is also preferred.

License(s): None

Certification(s): None

Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

Disclaimer: The foregoing description is not intended to be, and should not be construed as, an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.