Patient Access Representative

Patient Access Representative

Under minimum direction, the Patient Access Representative is accountable to ensure a smooth timely registration/admission process by obtaining accurate individual demographic, clinical and insurance data; collecting co-pay/deductible, residual and prior balances, perform initial financial screening on all self-pay & out of network patients and then referring them to the Financial Advisors as necessary while providing optimal customer satisfaction; reception; and provides patient way finding as required. The Patient Access Representative is expected to perform assignment tasks within the quality and productivity standards assigned to position responsibilities.

Essential Functions and Responsibilities:

• Completes all assigned tasks and responsibilities of Patient Access Representative accurately and in a timely manner.
• Responds promptly, professionally and courteously to all customers' needs.
• Cooperates and communicates effectively with all McLaren Health Care team members.
• Contributes to continuous quality improvement efforts.
• Completes complex tasks accurately and timely. May seek guidance and direction from Rep III and Supervisor as needed for complex assignments.
• Organizes time and prioritizes effectively.
• Practices cost effective measures.
• Maintains confidentiality in all matters regarding patients, the hospital, the department and human resources.
• Complies with HIPAA regulations and Patient Bill of Rights.
• Flexes to meet department needs and objectives.
• Follows all safety and health standards.
• Answers and screens outside calls, relays calls to the proper Department, transfers and/or holds calls when necessary.
• Answers and screens in-house requests for pages, outside lines, and to complete calls for patients who may need assistance.
• Pages doctors and authorized personnel over the overhead paging system as well as encodes pocket pagers, as requested.
• Informs appropriate personnel of disaster and fire drills and other Hospital function by announcing them over the intercom, as requested according to overhead paging policy.
• Maintains file of Hospital personnel and Departments by name and extension numbers as well as phone numbers of Hospitals within the area.
• Receives disaster information, notifies proper personnel and Departments. Signals all clear when appropriate.
• Directs visitors, salesman, doctors, outpatient, etc., to proper location as needed.
• Maintains on-call lists.
• Monitors Hospital entrance at night and notifies appropriate nursing personnel when necessary.
• Observes strategic locations of Hospital by security cameras and notifies management of discrepancies observed.
• Acts as the primary contact for Lost and Found items.
• Other duties as assigned or when necessary to maintain efficient operation of the department and the company as a whole.

Required:

• High School Diploma or GED
• Minimum of 2 years of Patient Access, Customer Service or Medical work experience OR Associates Degree in related field and 2 years of Patient Access or Medical Billing work experience.
• Skills in Microsoft Office, specifically Excel and Word, Window based applications, and 10 key calculators

Preferred:

• Certification in medical billing, coding, or equivalent job specific certification
• Working knowledge of CPT, HCPCS, and ICD-10
• Three years' experience in progressively more responsible finance and/or healthcare revenue cycle functions