What are the responsibilities and job description for the Patient Access Representative position at HaysMed?
Position Summary: Responsible for greeting and registering patients including the handling and processing of insurance and demographic information. Manage and maintains switchboard and phone coverage functions, responsible for overhead and on-call staff, and manages emergency maintenance panels.
Responsibilities:
- Enters patient demographics and information, insurance, and medical reason for visit; verification of insurance; and escorting patient to room.
- Receives request for accommodation; verifying of availability and booking room; collecting payment; producing patient receipt; and performing cash handling procedures.
- Confirms infections (MRSA & VRE) and notifies appropriate departments for precautions.
- Receives and documents payment; produces patient receipt; and performs cash handling procedures.
- Obtains demographic, financial, pre-certification or authorization information.
- Answers phones, screens, and directs callers to appropriate individual/department.
- Provides community services offered, in-house directory assistance and medical center information; and provides phone coverage for other departments.
- Monitors code blue panel for alarm; and pages overhead announcements, codes and on call staff.
- Monitors generator panels, fire alarm, and security alarms; and notifies appropriate area or persons for alarm.
- 800 MHZ Radio scheduling and testing.
- Manages on-call schedules.
Qualifications:
Required:
- Strong computer skills with the ability to quickly learn new software.
Preferred:
- Previous clerical experience
- Switchboard experience
Infection Control: Initial and Ongoing training in dealing with infection control. Trainings could include but are not limited to, blood borne pathogens, bodily fluids, and biohazardous materials as it applies to your daily work environment.
Patient Interaction: Frequent
HIPAA: This position will have access to the following Protected Health Information in order to carry out the duties related to their position at Hays Medical Center based on the following criteria:
Primary – required (routine) to do the job;
Secondary – required for the job, but mostly be exception; and
None – no approved access
Description of Information
Primary:
Patient Demographic Information (information used to identify a person): Name, Date of Birth, Address, Race, Marital Status, Religion
Financial Information/Insurance (information related to insurance, billing and payment): Billing Information, Payer Name, Payer ID, Account Balances, Plan Elements Covered, Payment Information, Payment Rates
Clinical Information (information that describes a patient’s health status): Diagnosis, Reports/Medical Notes, Test Results, Problem List, Procedures, History and Physical
Secondary:
Coding Information (clinical information that is in (alpha) numeric format): ICD-9 Codes, Rev Codes, CPT Codes
