What are the responsibilities and job description for the PATIENT ACCESS REPRESENTATIVE position at Family Hospital Systems?
We are seeking experienced Patient Access Representatives to join our team!
We currently have Full-Time and PRN positions available.
Locations: RISE Community Hospital Prairieville, La
We offer night shift differentials.
Summary: Responsible for patient registration, admissions, and associated tasks which include information collection and validation, and requisitioning of orders and services. Insurance-related tasks include verification, collection of co-payments, and collection of associated paperwork. Performs administrative functions, scheduling, answering phones, and coordinating general requests.
Qualifications:
Education: High School diploma or GED required, associate degree or higher preferred
Licenses/Certification: BLS certification required, CHAA or CHAM preferred
Experience: 1- year experience in an acute patient care setting preferred
Essential Functions:
A: Job Specific
Registers patients and performs all registration-related functions, including explaining and obtaining all necessary patient consents and authorizations in a complete and timely manner, collecting financial paperwork (e.g., patient responsibility statement, etc.), and co-payment as required
Communicates effectively with patient to assist in access to care by answering telephone and other incoming communications in a timely and customer-service oriented manner; replying to inquiries, patient needs for information, and other parties clearly and in a timely manner; and, if information is not readily available, follows up with inquiries to responsible party
Resolves all non-clinical questions within scope of knowledge while providing excellent customer service on the phone and/or in person
Performs on-going documentation audits for medical necessity, plan of care, and other related tasks or requirements by payors, including Medicare, using a variety of computer-based systems
Schedule appointments for outpatient clinics and procedures as needed
Obtain prior health insurance authorization for outpatient procedure and inpatient stay as needed.
Educate each patient with pre-exam and if necessary, post-exam requirements within scope
Organizes, generates and distributes patient reminders, results, and recall letters
Establishes files, maintains information, and scans medical records in a timely and organized manner
Ensure the accuracy of medical record documentation by performing a quantitative and qualitative audit.
Manages, directs and responds to incoming office correspondence as deemed appropriate, including mail, email, faxes, and telephone calls, and forward queries to the appropriate staff
Attends and provides feedback for departmental staff meetings
Role Models the Principals of Family Hospital System and Organizational Values.
Ensures compliance with all applicable HIPAA, EMTLA and Joint commission requirements, providing required associated literature to patients
Performs other duties as assigned on department and organizational level.
Knowledge/Skills/Abilities:
Excellent oral and written communication and interpersonal skills.
Problem solving abilities
Professional and positive demeanor
Proficiency in Microsoft Office and data entry systems
Accuracy and attention to detail
What we offer *
- Flexible Schedules
- Competitive pay
- Shift Differential
- Generous paid time off (PTO accrual begins on day one)
- Multiple Medical plan options
- Employer paid vision and dental coverage
- Employer provided short term disability, paternity leave, and life insurance
- 401(k) with company match
- Volunteer program
- No out-of-pocket expenses at RCH
*Benefits may vary based on position type and/or level.
