Patient Access Rep Lead

Purpose of Job 

This position is responsible for complete and accurate pre-registration and registration of various patient types, including, inpatient admissions, outpatient, emergency services, and same day surgeries at multiple locations.

Job Functions

1. Efficiently registers patients, in person or via phone, capturing and verifying all required information in order to identify the patient, contact the patient, and receive proper reimbursement for services on initial claim submission.
2. Assigns the appropriate Guarantor for each patient.
3. Ensures patients receive necessary disclosures, privacy information, and signs the Consent to Treat documentation.
4. Verifies insurance eligibility and benefit information using real time eligibility; reviews the insurers response to each verification request and takes appropriate action based on the response to ensure the proper insurance plan and billing address are entered in the system.
5. Completes the MSQ, as appropriate, for patients with Medicare
6. Collects financial obligations from patients and provides financial counseling and/or estimates when appropriate.
7. Reconciles and performs end of day cashier duties
8. Works with internal staff and third party payers to obtain information necessary for the registration.
9. Assists and refers internal and external customers to proper resources for questions.
10. Provides professional and courteous customer service to internal and external customers.
11. Adheres to strict confidentiality when handing patient information.
12. Meets established quality and productivity standards/requirements
13. Ensures inpatient notification process to third party payers is completed within established timeframes.
14. Performs other duties as assigned

When Performing as a Lead:

1. Trains and mentors new and current staff.
2. Assists Supervisor/Manager with team communication and staffing/scheduling
3. Communicates concern/issues to Supervisor/Manager
4. May assist Supervisor/Manager with quality measures
5. On-Call rotation is required

Minimum Education/Work Experience 

• High school graduate or equivalent
• 1-2 years previous healthcare experience
• Familiar with medical terminology
• Strong customer service experience

Knowledge/Skills/Abilities 

• Ability to effectively handle high-stress fast paced environment
• Ability to meet and maintain the necessary background checks as aligned with position functions
• Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above
• Ability to multi-task and high attention to detail
• Ability to perform basic math functions and count money
• Ability to serve patients in a friendly and efficient manner
• Knowledge of basic computer functions and Microsoft Office applications
• Ability to work autonomously and as a team
• Ability to respond appropriately to unpredictable situations and diverse patient populations
• Capable of making independent decision with the use of strong critical thinking and problem solving skills
• Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions mentioned above

Preferred Qualifications 

• Post-secondary education in a related field
• Bilingual

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