Patient Access Representative

Shift: Variable hours and variable days; this is also an ECB (as-needed basis) position.

**Please note that this position requires on-call.

Job Summary: The Patient Access Representative supports Saint Francis Health System by completing registrations with patients prior to scheduled procedures/admissions and direct admitting via workstation or bedside WOW workstations on wheels. This position is responsible for obtaining identification, various documents, signatures, legal compliance consents and collecting payments.

Minimum Education: High School diploma or GED. Associates Degree in healthcare related field, preferred.

Licensure, Registration and/or Certification: None.

Work Experience: Minimum 1-year related experience in health insurance field or two years hospital registration experience, preferred. Direct experience in hospital precertification and benefit/eligibility verification desired.

Knowledge, Skills and Abilities: Excellent customer service skills, effective written and verbal communication skills. Ability to work in a team and hospital environment. Demonstrated ability to follow AIDET guidelines. Ability to manage multiple tasks. Ability to organize and prioritize work; must be detail oriented.

Essential Functions and Responsibilities: Registers patients for scheduled/unscheduled services and inpatient/outpatient procedures within all applicable hospital based areas. Interviews patient(s) and/or their representative at workstation or bedside to obtain demographic/insurance information or verify information on file. Obtains copies of necessary identification and insurance cards. Documents appropriate information in the registration system based upon departmental documentation standards. Deploys legal and compliance consent forms and documents. Informs all patients of their visit status when services are delayed. Initiates, obtains and/or updates insurance verification as appropriate for patient services. Coordinates accurate patient data to determine financial obligation. Collects insurance co-payments, deductible amounts, self-pay deposits and patient balances from the patient/guarantor. Requests full or partial payment for services rendered according to collection policies. Follows all guidelines set forth in the Cash Handling policy. Produces paperwork on each patient for distribution to appropriate departments. Obtains ABN's and/or Non-Medicare ABN’s when applicable. Maintains knowledge of registration system user operations, front line workflows and policies and procedures.

Decision Making: Independent judgment in making minor decisions where alternatives are limited, and standard policies/protocols have been established.

Working Relationships: Works directly with patients and/or customers. Works with internal and external customers via telephone or face to face interaction. Works with other healthcare professionals and staff.

Special Job Dimensions: None.

Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.

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