Patient Access Representative

• Complies with Titusville Area Hospital’s (TAH’s) policies and procedures, accreditation agency requirements, and federal, state or local law and regulations

• Perform functions associated with registration of TAH patients including but not limited to accurately verifying patient demographic, guarantor and insurance information; estimation of patient financial responsibilities; and pre-service collections

• Face-to-face interactions with patients on a daily basis

• Create/Access/Edit patient records in the patient registration system in accordance with established policy and procedures to minimize duplicate medical records and record accurate information

• Inform patients of Advanced Directives, Patient Bill of Rights, Financial Agreement and general patient information about their hospitalization/encounter

• Ensure all patient financial liabilities are communicated and collected in accordance with insurance benefits, departmental policies and federal, state or local laws and regulations

• Provide patients with contact information for the Financial Counselor as requested or as appropriate

• Follow up on missing authorizations

• Work collaboratively with Pre-Service Specialists, Financial Counselors, providers and individual departments to coordinate patient services as necessary and ensure wait times are minimized

• Contact patients and physicians’ offices as needed to verify data or obtain information

• Follow up on unresolved patient accounts in a timely fashion

• Complete spreadsheets required for tracking purposes

• Assist as needed or when directed with training

• Review and respond to quality monitors in accordance with departmental policy

• Recognize, document and alert supervisor of trends in patient complaints and system issues

• Relieve other Patient Access personnel for breaks and time off as needed

• Perform other duties as assigned by the Supervisor/Director and/or VP – it is understood that this job description lists typical duties for the classification and is not to be considered inclusive of all duties that may be assigned Education/Experience

• High School Diploma or equivalent required

• Working knowledge of computer-based applications and strong PC/keyboard skills with a minimum typing speed of 30 wpm

• Registration experience in a healthcare environment preferred

• Completion of a Medical Terminology course preferred Knowledge, Skills and Abilities

• Required to maintain absolute confidentiality of patient care, patient accounts and hospital related matters

• Required to abide by, and comply with, the provisions of the TAH Corporate Compliance Policy

• Required to utilize positive Guest Relations principles in all interactions with patients, families, peers, third party payers and all members of the healthcare team

• Knowledge of basic office equipment such as copier, scanner, and fax machine, etc.

• Excellent communication, interpersonal and organizational skills

• Ability to communicate with all members of the health care team

• Ability to multi-task and prioritize assignments

• Strong attention to detail and demonstrated ability to use sound judgment in decision making

• Knowledge of hospital registration, pre-registration or financial counseling preferred

• Understanding and working knowledge of medical insurance benefits, managed care, Medicaid and Medicare regulatory requirements preferred Work Environment Work is performed primarily indoors in a generally pleasant work area. Physical demands include: Frequent sitting and keyboarding/ Occasional lifting/carrying and pushing/pulling up to 50 pounds; Occasional climbing, balancing, bending, stooping, kneeling, crouching, reaching, handling, fine manipulation, grasping, overhead lifting and feeling. Positions Supervised None