Pre Registration Patient Access Associate

MAIN FUNCTION : The Pre-Registration Patient Access Associate plays a critical role in ensuring that patients are fully prepared for their scheduled healthcare services by accurately estimating financial responsibilities and conducting thorough pre-registration processes. This includes pulling daily reports for scheduled services, identifying patients based on insurance type, creating estimates for patients with commercial and Medicare coverage, and conducting pre-registration calls to verify demographic information, insurance details, appointment specifics, and providing directions to the service location.DUTIES AND RESPONSIBILITIES :

• Accurately estimate patient responsibility for upcoming services and communicate these estimates to patients.
• Document prior unpaid outstanding prior balances and add with the estimate to create "Total Guarantor Responsibility".
• Request payment, over the phone, for estimated service costs and any outstanding balances before appointments.
• Explain in detail patients' insurance coverage and responsibilities, ensuring clarity and understanding.
• Assist patients with navigating payment and financing options for the patient cost-share for future services and prior balances.
• Pre-Qualify guarantors whose remaining balances are over $500 and don't qualify for Medicaid, charity or other financial assistance programs.
• Coordinate closely with billing and insurance verification teams to gather accurate financial information for patient pre-registration.
• Pull daily reports for scheduled services, including outpatient services / therapies, surgery, GI / Endo, radiology, and dialysis.
• Provide patients with clear directions to the service location for the day of their appointment.
• Perform other duties as assigned to support the Patient Access Services Department.EDUCATION : High school diploma or GED required; some college or Associate's / Bachelor's degree in business, finance, or related field preferred.QUALIFICATIONS : Knowledge of medical terminology, healthcare billing, and insurance verification processes.Strong financial acumen and a thorough understanding of patient responsibility amounts, including copays, deductibles, and coinsurance.Excellent communication, negotiation, and interpersonal skills, with the ability to explain complex financial information in a clear and compassionate manner.Proficiency in using hospital information systems, electronic health records, and office software.PHYSICAL DEMANDS : Requires extended periods of standing or sitting.Requires extended periods of discussing patient responsibility balances with patients over the phone.EXPOSURE CATEGORY : Category III. Tasks that involve no exposure to blood, body fluids, or tissues. Category I tasks are not a condition of employment. Learn More