Patient Access Representative

Job Description

At Mercy Rehabilitation Hospital South, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve.

How you'll contribute

This position will work under the direction of the Director of Business Development and Admissions Coordinator and be responsible for patient admissions, insurance verification and other insurance verification duties as directed. This individual will be responsible for obtaining the necessary demographic information of the patient which may require interviewing patients or their representatives. This position is also responsible for preparing/processing admitting forms and keeps abreast of all new insurance updates and regulations.

Essential functions:

Processes referrals and coordinates admissions of all hospital patients in an efficient, responsive manner. Coordinates the flow of information through the admissions process and forwards to appropriate departments for the successful completion of admission. Collect and record all information necessary for admitting patients. Immediately notifies appropriate rehab liaison to perform a clinical evaluation. Completes Insurance Verification Form with benefit and billing information. Pre-Admit all patients into appropriate EMR/Billing system obtain correct general information. Contact patient's insurance to confirm and determine amount of coverage and benefits, deductible due, length of stay and if pre-certification is required. Obtain Pre-certification for inpatient rehabilitation stay and document necessary information for case management to follow up once patient admits. Answers telephone promptly and courteously, providing information and completing all referral/intake forms as appropriate for each call. Notifies appropriate departments of patient's anticipated admission date/time. Notifies the appropriate personnel of the anticipated arrival time of all inpatients. Inputs new referrals into EMR for clinical liaison to complete Pre-admission screen Informs the patient of their verified insurance benefits and refers them to the appropriate finance department for further billing questions. Creates working patient files to track progress of patient's admission Maintains confidentiality of patient medical records information in accordance with hospital's defined policies and procedures. Completes admitting paperwork, obtaining appropriate signatures, reviews information with the patient and family, obtain patient identification and insurance cards for copy. Coordinates denial information with liaisons for follow-up communication to referral sources, families and physicians. Backup for liaison communication and referral tracking Must be cooperative and have the desire to be a team player. Must recognize and observe confidentiality principles. Consistently demonstrates the ability to organize tasks in order of priority. Consistently performs job duties in an independent manner with minimal direct supervision required. Performs other duties as requested by authorized personnel or as necessary for effective operation of the facility, including emergency situations. Follow the step by step procedure outlined by Admissions Coordinator when receiving referrals. Processes referrals and coordinates admissions of all patients in an efficient, responsive manner. Assists with action plan for all pending cases to maximize conversion of referrals to admissions. Prepares all forms completely and accurately prior to the arrival of all admissions. Maintains up-to-date statistical data in computer information system within established time frames. Ensures completion of all referral documentation and maintains filing systems. Maintains, posts, and distributes an accurate census and referral information to administration hospital staff on a daily basis. Maintains systems and processes for timely data-entry of pre-admit, admission, and registration of information for inpatients and outpatients. Compiles daily and monthly statistics for admission, discharges, referrals and denials. Prepares statistics for corporate report as designated. Compiles and distributes weekly admissions/discharges list. Monitors pending list daily. Recognizes problems and assumes responsibility for helping to solve them when they occur. Seeks supervisory help appropriate in problem solving and assists in implementing solutions. Ensures patients have a good understanding of their insurance benefits and answers questions as needed.

Qualifications: High School Diploma required. Some college preferred. Minimum of 2 years' experience in Admitting and/or medical insurance preferred. Experience in handling patient admissions preferred. Extensive knowledge of insurance and their benefits and admitting forms. Proficiency in recording admission reservations. Management experience preferred. Basic computer knowledge including Outlook, Excel, PowerPoint and Word Must be able to read, write, and speak the English language. Good communication skills. Ability to work harmoniously with other personnel. Ability to deal tactfully with patients, hospital staff and the general public. Med-Surg hospitals and systems (for profit and non-profit) knowledge desired Must be able to follow written and oral instructions. Must maintain a professional demeanor and appearance to reflect proper image for the hospital and the board members, medical staff, community leaders and fellow employees. Must have good organizational skills and analytical ability in order to interpret information, and carry out duties independently.

About Us People are our passion and purpose.

A career at Mercy Rehabilitation Hospital South, a new standalone 50-bed, two-story inpatient acute rehabilitation hospital operated jointly with LifePoint Health and Mercy, is more than a job. It's a chance to be a vital member of an interdisciplinary team caring for people in St. Louis who need continued care to recover completely. You have specialized skills and our patients in the ST. Louis area need them! If you are an enthusiastic individual seeking an environment dedicated to superior patient care and an organization with a strong mission to serve our community, we invite you to apply!

EEOC Statement

Mercy Rehabilitation Hospital South is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.