Patient Access Rep I - Evening - ED

Job Title

Under direct supervision, this position performs tasks to ensure financial stability by entering patient data accurately, timely, and efficiently in order to create a claim to bill for medical services provided.

Core Competencies

• Collects all required data elements to complete the intake process within the hospital revenue cycle system.
• Utilizes hospital bed board/patient tracking system to track and arrange proper placement of patient on nursing units.
• Maintains basic working knowledge of all sponsored programs such as Medicare, Medi-Cal, Tricare and all other payers; as well as contracted insurance payers and authorization requirements.
• Maintains proficient working knowledge of Medicare Secondary Payor Questionnaire policy and procedures.
• Validates patient eligibility, benefits, and medical group affiliation as well as obtaining insurance verification and notification as needed.
• Demonstrates basic working knowledge of all department/regulatory generated documents and is able to explain their meaning to patients and obtains appropriate initials/signatures.
• Bands patients appropriately and distributes labels/face sheets as necessary during the registration process.
• Collects and returns patient valuables in accordance with department procedure in designated areas.
• Creates estimates, requests, and collects patient financial responsibility payments for hospital services.
• Greets customers promptly ensuring they are taken care of in a timely and professional manner.
• Answers the telephone courteously within three rings, identifying self and department, routes calls, ascertains needs and takes accurate messages as appropriate.
• Complies with departmental policies and procedures, demonstrates basic working knowledge of policies and procedures. References policies and procedures to explain to patient's, families, and physicians and other hospital staff.
• Enters data related to HAV bed polls and notification to the administrative house supervisors/ or designee of any alerts via Reddi-Net when necessary.
• Participates in interdepartmental committees and taskforce representing the Patient Access department.
• Completes the Midnight Census compare and accurately makes all necessary changes in all applicable systems nightly as needed.
• Participates in daily performance improvement huddles and hospital performance improvement activities using lean tools and techniques.
• Reviews physician order for completeness to ensure compliance during intake process.

Experience

Number of Years Experience - Type of Experience

1 - healthcare revenue cycle, medical industry or customer service experience.

Compensation

$24.00 - $32.95/ hour