Patient Access Representative - SM1

Patient Access Representative The Patient Access Representative is responsible for coordinating and performing all duties to ensure that the MVH registration system is up to date with correct patient information. This includes utilizing all available tools to verify, enter, and confirm all insurance information. Additionally, the Patient Access Representative is cross-trained to cover the switchboard/ER Greeter and mail room functions. All of these functions must be carried out in a professional and courteous manner that is consistent with the guidelines developed for this position. In all cases, meeting the needs of our patients will be the number one priority of this position. Essential Functions: Maintain a courteous, calm and pleasant manner at all times. Greet people with a helpful and positive attitude. Represent Martha's Vineyard Hospital in a positive manner in all communications. Demonstrate a commitment to maintaining positive and effective working relationships with other hospital departments. Use proper workplace etiquette to encourage a pleasant and supportive departmental atmosphere. Using the highest levels of excellent customer service, welcome each patient and visitor to MVH, determine what their needs are and direct them in a kind and courteous manner. In accordance with HIPAA regulations, input correct ordering and primary care physician information for all patients to ensure that all test results reach their proper destinations. Scan front and back of each patient's insurance card, and for new patient's front and back of Photo ID. Identify and correctly enter insurance policies prime to MR. Act as a resource for self-pay patients and those with MassHealth (and related policies) questions by providing literature and/or by directing them to the Patient Financial Counselor. Direct patients and their paperwork to the appropriate departments at the appropriate time. Without fail, respect the confidentiality of the information provided by patients or other hospital-based departments. Keeping EMTALA requirements in mind, collect appropriate insurance co-payment and process credit card/check/cash transactions using Cash Tracker system. Make use of the AT&T Language Line to assist patients who do not speak English. Perform quality control audits and update registration errors. Interact effectively with all internal and external departments and patients to ensure that the registration process runs smoothly and that it supports all of the hospital's information. Advise manager of errors for the purpose of on-going training minimizing negative impact on revenue. Perform other reasonable duties as assigned by management. Answer outside calls, relay calls to the proper department/ extension, and transfer calls when necessary. Answer and screen in-house calls and complete calls for patients who may need assistance. When greeting patients entering the ED, assess degree of illness/injury and immediately seek medical assistance if life threatening condition exists according to ED provided symptom list. Assist ED registrars with meeting patient needs for timely registration. Monitor the ED waiting room and wait times. Maintain patient confidentiality. Answer questions, give directions. Maintain a log of patient names, room numbers, and telephone extensions in order to expedite relayed calls. Update the census at the beginning of each shift and every 3 hours thereafter, at a minimum. Establish at the beginning of the shift, a list of people on call. Page people in the institution as needed in a professional manner. Sort all incoming mail and post outgoing mail. Prepare batch mailings as requested. Maintain postage meter with adequate funds to operate daily. Maintain an adequate supply of mailing items, including FedEx and USPS forms. Report repairs needed for postage, fax, and copier machine. Assist with any other duties assigned. Skills/Abilities/Competencies: Maintain and promote positive attitude and customer service with patients, staff members and other departments. Maintain compliance with hospital policies, procedures and regulatory mandates. Maintain competency for entry of demographic and insurance information. Respond to problem solving. Ensure accuracy and completeness of demographic information. Ability to comprehend and ensure compliance with hospital and departmental policies and procedures. Ability to create team environment/working conditions. Ability to independently follow assigned tasks to completion. Capable of decision making based on experience and situation. Ability to multitask and field switchboard phone calls. Computer skills. Ability to greet patients. Ability to process and sort incoming and outgoing mail.