Lead Patient Access Representative

Basic Function:

The Lead Patient Access Representative assists the supervisor in coordinating the daily activites of the Patient Access Representative I. Monitors workflow and quality, assists in the training process and performs all duties of a Patient Access Representative I; assist with the information needed to improve patient flow and collaborate with various departments providing services. Conducts registration interview with patient or patient’s representative to gather demographic and financial information required for hospital admission and/or outpatient service.

Requirements:

High School diploma or equivalent required, Associate’s degree preferred. Five (5) years' patient registration, business office or billing experience in a healthcare setting is required. Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred.

Responsibilities:

• Assists the supervisor in coordinating the daily activities and completion of the Patient Access Representative I.

• Reviews registrations on a daily basis and reports irregularities to the department supervisor.

• Performs duties to assist with the information needed to improve patient flow and collaborate with various departments providing services.

• Responsible for patient check in and registration, insurance verification, collection of co-payments or self pay, accurate record keeping of flow and financial objectives.

• Obtain and verify accurate completion necessary supporting documentation such as insurance forms, copies of insurance cards, assignment of benefits, etc., and route appropriately to ensure proper coding and billing charges.

• Provide patient with forms and/or documentation required by Federal and State regulatory agencies; Bill of Rights, Financial Obligations Summary, Privacy Notice, etc.

• Review patient charts for completion to ensure accurate and timely processing of information through various systems.

• Facilitates in gathering accurate patient billing information.

• Performs collections of patients with outstanding accounts receivable. Accurately estimates the patient liability (co-payments, deductibles, co-insurances, deposits, etc. via obtaining accurate demographic and financial information.

• Receives and processes patient payments. Maintains necessary petty cash to properly service and receive payments.

• Answers patient inquired regarding their liability and being able to explain the variables involved.

• Properly receipting and forwarding all copies of patient payment receipts posting to the patient’s account in Sorian Financials.

• Perform end of day duties closing and reconciliation duties in Sorian Financials and reconcile deposit slips.

• Process lab drop-off specimen registrations completely and in a timely manner.

• Assign patient rooms upon arrival of all patients, monitors room availability and turnover.

• Monitors Emergency Department tracking board and keeps data current with patient location and complaint.

• Serves as a resource for Emergency Department staff and EMS crews.

• Assists in coordinating transportation for discharges and/or other activities as necessary.

• Arranges patient transfers out of the critical care units and between medical and surgical units with the focus on appropriate patient placement.

• Communicate clearly and respond in a courteous and timely manner to patients, patients’ families and staff requests and provide necessary information in order to deliver a high level of customer service.

• Performs cashier functions as needed; collects patient payments, maintains sale of telephones and telephone line service per hospital policy, sale of weekly parking passes.

• Reviews patient account at time of discharge, gathers any missing information or billing documents, and requests payment of deductibles, co-payments and private pay deposits.

• Schedules procedures when the surgical scheduling area is closed, duplicates and delivers operating / delivery room schedules.

• Responsible for handling necessary arrangements when a patient expires.

• Records necessary information regarding the patient in the death book, determines if an autopsy is to be perfomed, arranges for an autopsy if necessary, and who is the families’ choice of funeral home.

• Notifies Funeral Director immediately upon notification of the responsible funeral home.

• Secures signed death certificate from the responsible physician.

• Notifies the funeral home when death certification and autopsy, if applicable, is complete to facilitate timely removal.

• Conducts daily census verification.

• Conducts surveys and collects statistics upon request.

• Develops training and competency programs, provides on the job training to new and current employees.

• Complete required training as assigned; Doc training for “Medical Look Test” and Medical Terminology/Competency.

• Adhere to patient privacy policies and procedures, maintain confidentiality.