ED Patient Access Representative - Full-time - Days

Emergency Department Patient Registration

Under general supervision, interviews Emergency Department patients to obtain necessary information, prepare admission/registration forms, gather insurance information and perform other clerical/computer operational tasks related to the admission of inpatients and outpatients coming into our Medical Center.

Education: High School Diploma or GED

Licensures/Certifications: CHAA Preferred

Experience: 1 to 2 years related experience preferred. 6 months to 1 year working in an Emergency Department preferred. Completion of a Medical Terminology class preferred.

Skills:

• Responsible for interviewing patients that are experiencing a medical emergency.
• Ability to work calmly and efficiently in high-stress situations.
• Strong ability to work well on a team with rotating staff.
• Knowledge of insurance coverage and billing, collection procedures, laws, rules, and regulations.
• Knowledge in medical terminology preferred.
• Skill in using computers and personal productivity applications.
• Skill in oral and written communication, including reading comprehension.
• Skill in data analysis to gather and update statistics, logs, records and reports.
• Ability to type quickly and accurately.
• Excellent skill in customer service techniques.
• Ability to multi-task and prioritize.
• Must be able to work in a patient care environment with exposure to infection and/or contagious disease.

Principal Duties and Responsibilities:

• Completes Arrival and Registration functions for patients presenting for immediate life-threatening illness or injury, emergency petition, sexual assault, psych evaluation and substance abuse.
• Use of standard precautions to prevent exposure to blood and/or body fluids exposure.
• Follows EMTALA regulations related to registration and collection of co-payments in the Emergency Dept.
• Performs bed-side registrations for ER patients, patients directly admitted to the hospital and for Skilled Nursing Facility/ Sub-acute unit admissions. Ensures complete and accurate information is obtained bedside from the patient, from a family member, or from the sending facility.
• Extensive insurance knowledge for accurate insurance entry for new and out of state patients, patients presenting for auto and workers compensation injury, and other liability situations.
• Documents point of origin, sending facility and referral source for patients arriving from other health care facilities, maintaining accuracy of patient records and compliance with the HSCRC.
• Responsible for registration of after-hour Radiology patients.
• Verifies demographic and insurance information. Obtains all necessary signatures electronically, or on paper. Collects any payments due upon admission and assures insurance verification process is completed.
• Inform patients of Medical Center rates, rules and regulations and answers patients' questions. If unable to answer questions, investigates all avenues available to resolve concerns. Works as a team with clinical staff from all OR's, Emergency Department, Maternal/Newborn Health, Clinics, and Ancillary Testing areas.
• Inputs patient information into computer to identify existing, or initiate new medical record, patients' labels, and bracelets. Scans at time of registration all insurance cards, Photo I.D., Advance Directives and other facility information. Obtains photographs of patients for identification purposes. Obtains electronic signature of various registration forms such as Permissions and Acknowledgements, and Notice of Observation to Inpatient Status Change. Escorts patient to waiting room location as needed.
• Meets or exceeds departmental registration timing standard of 7 minutes per patient.
• Verifies benefits via Epic Real-Time Eligibility. Follows insurance requirements such as Medicare Secondary Payer Questionnaire. Enters insurance coverage accurately. Provides notification to insurance carriers as required.
• Assists in training new employees for the department. Performs clerical duties, computer operational duties, filing, record keeping, answering phones and providing excellent customer service. Handles security keycard distribution for VIP's at L&D.
• Meets or exceeds registration accuracy of 97%- evaluated on a quarterly basis.
• Collects co-pays, deductibles, out of pocket, and balance due payments via check or credit card. Obtains authorization on all credit card transactions using Epic.
• Assists and covers as needed the Hospital Information Desks- working closely with, instructing and training all Information Desk and Lobby Escort volunteers.
• Assists with registrations in all Patient Access Registration areas as needed.
• Is comfortable in working with many hospital computer applications and systems including but not limited to; Epic, Watch Child, Access E-forms, Outlook Web Mail, OnBase Scanning, Word, and Excel.

Pay Range

$17.35 - $26.36

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.