What are the responsibilities and job description for the Patient Access Representative - Admiss. / EC Reg. Pelham position at Spartanburg Regional Healthcare System?
Position Summary
The Patient Access Representative position receives, coordinates and implements the initial patient experience by providing critical functions essential to ensuring proper clinical treatment, billing and reimbursement, patient satisfaction as well as efficient and accurate handling of the patient registration process.
Minimum Requirements
Education
High School diploma or equivalency
Experience
One-year experience in healthcare access, customer service, and / or financial setting
License / Registration / Certifications
N / A
Preferred Requirements
Preferred Education
Associates degree
Preferred Experience
Three years of experience in healthcare access, customer service, and / or financial setting
Preferred License / Registration / Certifications
N / A
Core Job Responsibilities
Accurately completes a quality registration in the HIS system that maintains the integrity of demographic and financial information required for clinical and billing functions for every patient encounter
Responsible for utilization of time and management of work processes to ensure organizational and departmental expectations are met
Verification and review of insurance benefits and financial clearance for all payors at each encounter
Works in conjunction with the Centralized Referral Center to ensure prior authorizations have been obtained
Research and resolve all registration occurrences for demographic, clinical and insurance accuracy
Understands and adheres to state and federal regulations and system policies regarding compliance, integrity and ethical registration practices
Accurately complete patient estimate letter and attempt cash collection when applicable and process patient payments for account posting
Responsible for practicing AIDET in all customer / patient related encounters
Reviews and ensures that all medical orders are compliant and meet government and hospital guidelines as well as clinical protocols
Completes clinical screening for specified modalities to ensure patient safety
Ensures proper utilization of computer systems to facilitate efficient and effective workflow processes
Ability to obtain insurance eligibility and benefit information from payors via phone, RTE, or web in order to provide patient with estimated responsibility for services requested or rendered
Maintain an accurate cash drawer and functions related to cash drawer reconciliation and deposit
Performs other duties assigned by department supervisor or manager
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