Patient Access Representative - AGP

• Performs registrations by completing an accurate face to face interview to obtain demographic, insurance, medical and financial information.
• Performs preregistration for diagnostic testing and surgeries by contacting the patient via phone and completing an accurate interview to obtain demographic, insurance, medical and financial information.
• Schedules services and provides physician office/patient accurate date and time information, realizing room availability, physician availability, typical time needed to completion of procedure, and procedures that conflict with each other. Completes procedure specific questionnaires as needed to assist clinical departments to prepare for patients.
• Reviews eligibility response to assess patient's benefit level. Prepares patient estimates either using software or following established policies and procedures. Advises patients of out-of-pocket expenses and collects payment. Applies payments and discounts in accordance with established procedures. Maintains security of payments in accordance with established policies and procedures.
• Utilizes screening tool for self-pay patients to determine any possible payer source. Refers patients to Financial Counselors in accordance with established policies and procedures.
• Advises patients of, and generates Advanced Beneficiary Notice (ABN) and/or Assumption of Financial Responsibility (AFR) form as appropriate.
• Obtains, scans, and indexes physician orders
• Cross trained to staff all areas of Patient Access
• Maintains productivity and quality standards for all areas of responsibility.
• Maintains open communication with physicians and their offices, patients, and ancillary areas in the facility.
• Acts as a resource for training of new team members and during implementation of new processes.
• Completes annual on-going competency requirements. Attends continuing education programs and completes mandatory training in order to maintain certification/licensure, department specific requirements and professional growth.
• Follows System and departmental policies and procedures with special attention to attendance, punctuality, confidentiality, dress code and display of ID badge and safety.
• Other duties as assigned

Education:

• High school graduate or the equivalent.

Certifications:

• None required

Complexity of Work:

• Knowledge of medical terminology
• Competent with computer software including practice management systems and windows applications
• Must be proficient in Data Entry
• Ability to add, subtract, multiply, and divide

Work Experience:

• One year work experience with customer service.
• One year hospital clerical or billing preferred.
• Higher education and training can offset requested work experience.
   

Physical Requirements:

• Ability to communicate and exchange accurate information. 
• Ability to perform work in a stationary position for extended periods.  
• Ability to work with physical records or operate a computer or other office equipment.  
• In some locations, ability to travel throughout the hospital system.  
• In some locations ability to move up to 25 lbs.

Personal Protective Equipment:

• Follows standard precautions using personal protective equipment as required