Patient Representative - BMH ED FULL TIME DAYS

Patient Representative - BMH ED Full Time Days

Patient Representatives are instrumental in ensuring the efficient and effective flow of patient access needs throughout the organization. Responsibilities may include greeting and registering patients, gathering and entering appropriate demographic and insurance/billing information, verification, scheduling appointments, providing patients with financial information, price estimates and the collection and entry of payments. Current knowledge of billing and coding requirements and the ability to apply these based on industry standards is required. Ability to resolve patient financial issues and negotiate payment arrangements. Representatives must fully understand the ramifications and impact of incomplete or inaccurate information to patient care and the overall revenue cycle. Position works in a team environment and delivers exceptional customer service. Other duties as assigned. Employees providing direct patient care must demonstrate competencies specific to the population served.

High school diploma or general education degree (GED) required.

CHAA earn and maintain (every 2 years) and minimum experience 1 year in ER/OP, 2 years in call center setting.

OR

4 years in the department and in good standings and completion of 4 professional development activities each year

Patient Representatives assigned to an Emergency Department team will be placed into a weekend standby rotation based on facility. This standby rotation begins Friday at 7pm to Monday at 7am. This standby rotation could occur from two to no more than six times a year.

Previous customer service experience required.

Medical Terminology, CPT and ICD-10 coding strongly preferred.

Basic typing at 45 WPM, basic ten key, and computer skills within a Windows environment.

Experience with multiple computer applications/operating systems, and office machines.

Knowledge of HIPAA and confidentiality requirements, insurance payer regulations and requirements, and patient rights.

Knowledge of revenue cycle components and his/her role in the ability to impact the overall process.

Knowledge of the impact of accurate registration has on patient satisfaction.

Analytical skills to solve simple to semi complex problems.

Organization, prioritization and time management skills.

Concentrate and pay close attention to detail.

Ability to multi-task.

Be flexible to facilitate change.

Ability to maintain composure in a position that has considerable deadlines, customer contact and high volumes of work which produces levels of mental/visual fatigue which are typical of jobs that perform a wide variety of duties with frequent and significant uncontrollable deadlines. Work may include the operation of and full attention to a personal computer or CRT up to 40 percent of the time. The job produces some physical demands. Typical of jobs that include regular walking, standing, stooping, bending, sitting, and some lifting of light weight objects.

Greets and/or registers patients accurately and efficiently.

Verifies insurance eligibility using online systems.

Provides and/or completes required patient forms.

Collects and enter payments, follows required balancing procedures.

Analyzes, interprets and enters physician orders.

Scans and indexes forms.

Schedules and communicates appointment information accurately and efficiently for multiple facilities and ancillary departments.

Verifies insurance for scheduled and urgent emergent patients following guidelines established per payer and obtains authorization based on payer specific criteria.

Accurately completes assigned work queues.

Identify financial counseling needs.

Maintains confidentiality in verbal, written and electronic communication.

Follows established processes, protocols, and workflows.

Takes initiative to resolve problems and meet patient needs.

Location: Kalamazoo-601 John St.-Bronson Methodist Hospital South Campus (South Pavilion)

Shift: Full time

Time Type: Full time

Scheduled Weekly Hours: 40

Cost Center: 1202 Patient Access ER (BHG)