Patient Access Representative

Patient Access Representative Hours are Monday - Friday from 8a-4:30p Provides patient focused customer service. Performs outpatient & / or inpatient registration & insurance verification functions; collects patient financial liability payments & ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information to hospital users, patients, families & physician offices. The Patient Access Representative -front-end, works directly with patients, family, and various hospital staff to ensure that Patients are taken care of while on their journey with SJH. Patient Access functions consist of but not limited to Desk registration, bedside registration, pre-registration and floating to areas within Patient Access dept to assist as need directed by management. In all locations, the Patient Access will ensure that accounts are financially secure, meaning collecting demographics, insurance information, reviewing financial responsibilities consisting of co-pays, past due balances, and estimates. Job Responsibilities: Admitting/Checking patients in Ensuring proper documentation with charts/patient (bracelet and labels) Staying updated on workflows for designated task Follow patient identification protocols Appropriately documenting in charts Closing out cash drawers Maintaining appropriate cash in petty cash drawer Scheduling walk-in imaging, TDAP, Bilirubin (newborn test) appointments Floorwork Registration Floating to with other Patient Access locations (cross training) Maintaining Healthstreams courses Maintaining all insurance sign ons are updated Stay up to date on emails and Teams post, policy and procedures Standouts Point of service Cash collections (estimates, co-pays, past due balances) Direct Admits/Transfers Documenting accounts (what did rep do with account, using smart phrases, follow-ups if needed) Maintain assigned WQs Knowledge on EPIC (maintaining updated knowledge) Escalating accounts that are not financially secure to appropriate leadership (ex: inactive coverage, self-pay, authorizations not completed) Assessing equipment is working properly (ex: Scanner, CC machine, Palm Scanner, and camera) and doing monthly audits on credit card machines. Maintain 90% on monthly Audit score Attend mandatory Spring and Autumn Training Additional responsibilities: Demonstrates knowledge and competency in the operation and maintenance of equipment within the work area, i.e. printers, copiers, faxes, etc. Adheres to established network policy and procedures related to job functions. Performs data entry with a working knowledge of the unit specific computer systems, EPIC, Peoplesoft, Midas, etc. Demonstrates accuracy when performing the primary job function. Abides by established Personnel Policies and Procedures. Has knowledge of HIPAA rules and regulations and abides by the same. Professional and Staff Development: Participates and or assists with the orientation of new or existing staff. Participates in Staff and Employee meetings/Huddles Participates in voluntary and required in-service and education programs. Participates in Performance Improvement by identifying areas needing improvement. Obtain HFMA certification within a year of hire date. Displays Commitment to the Hospital Mission: Observes customer service standards. Demonstrates excellent communication skills. Understands/applies a team concept. Adheres to hospital confidentiality statement. Demonstrates a knowledge and understanding of National Patient Safety Goals. Mission Statement : We, St Joseph's Health, and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities. Vision: To be world-renowned for passionate patient care and outstanding clinical outcomes. Core Values: In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are. EDUCATION and TRAINING: Bachelors or AAS degree is a plus. High school graduate a must with at least 2 to 3 years progressive experience in the field. Advanced degree is a plus/requirement depending on specific service needs and or requirements. Ideally the candidate will have some supervisory experience. Participates in orientation and continuing education and updates and maintains knowledge and skills related to specific areas of expertise. SPECIAL EQUIPMENT, SKILLS OR OTHER REQUIREMENTS: Proficient in the Patient Access Template within EPIC Complete CPI (Crisis Prevention Intervention) Training Strong written and oral communication skills. Strong interpersonal skills. Broad based knowledge or related regulatory compliance requirements. Competent in basic computer skills Participatory management, team building, motivational, and administrative skills welcomed but not required. Critical thinking WORK ENVIRONMENT AND HAZARDS: Exposure Class I and II, service specific. Limited exposure to blood, body fluids, excretions or secretions (II). Routine or potential exposure to blood, body fluids excretions or secretions (I). PHYSICAL DEMANDS: Sedentary work: standing, walking and sitting for prolonged periods of time. Pay Range: $18.46 - 24.86 Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.