Patient Access Representative-MGC Pelham Center for Women

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