PRN Patient Access Representative

RESPONSIBILITIES

1. Responsible for opening and closing essential rituals, including preparing for the day, and organizing daily folders. At closing, prioritize patient privacy by securely handling PHI and checking in with patient families to ensure their needs are met.
2. Conducts preadmitting activities, collecting patient demographics, insurance information, and preparing for the day ahead. Pre-registers patients when possible and within time constraints.
3. Performs admitting activities such as securing consent for treatment, obtaining required forms and signatures, and scanning relevant documents.
4. Collects copayments and downpayments in the proper systems.
5. Refer patients to proper parties about financial counseling.
6. Understands HIPAA & ROI procedures according to hospital policies and applicable laws and regulations.
7. Utilizes interpreter services in accordance with hospital policies, ensuring effective communication. Informs patients of hospital standards regarding the choice to use or not use these services.
8. Notifies relevant departments following established protocols when patients are ready.
9. Answers telephone calls professionally and efficiently, receiving, and conveying messages effectively.
10. Familiar with the locations and retrieval processes for walk-in patient’s orders.
11. Regularly monitors email, MS Teams, and other communication platforms for updates on testing or changes in patient status.
12. Understands the ABN process by identifying and obtain signatures regarding medical necessity.
13. Manages and communicates essential messages from Medicare, educates patients on discharge rights, and stays informed about any Medicare policy changes, promptly notifying the Revenue Cycle Manager of updates.
14. Prepares all Daily Deposit/Cash Log following Facility cash controls. For opening and closing procedures.
15. Research and sort returned mail and calls patients to update demographics.
16. Adds and updates providers into the EMR system.
17. Assists in auditing previous day's face sheets for errors and completion, providing accuracy reports to the Revenue Cycle Manager.
18. Provides pertinent information to the patient’s family in the waiting area according to policies and procedures.
19. Maintains a 90% accuracy rate for patient registration.
20. Maintains lobby and patient access areas, ensuring cleanliness and ordering supplies when needed.
21. Provides bedside registration when required.
22. Adapts to change and demonstrates flexibility.
23. Demonstrates effective time management by consistently arriving on time and planning tasks efficiently.
24. Behave and dress in a professional and courteous manner consistent with the facilities Standards of Behavior.
25. Other duties as assigned.

OCCUPATIONAL EXPOSURE

Office Environment

PHYSICAL & MENTAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job the employee is frequently required to sit, converse, and listen; use hands to touch, handle, or feel objects, tools or controls; and to reach with hands and arms. Specific vision abilities required by this job include close vision and the ability to adjust focus.
2. The employee must be able to life and/or carry over 20 pounds on a regular basis and be able to push/pull over 25 pounds on a regular basis.
3. The employee must be able to stand and/or walk at least five hours per day.
4. Routine duties using one or more of several established procedures within a prescribed practice under general supervision. Involves minor decisions, many of which are repetitive.  Position requires close attention to detail.  Occasional pressure due to multiple calls and inquiries. 
5. Frequent contacts of a significant nature involving difficult negotiations and technical matters. Requires a high degree of diplomacy and tact.

WORK ENVIRONMENT & EXPOSURE

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Duties conducted in an office environment.
2. General supervision is available for a variety of duties, most of which follow well defined methods and procedures. Employee may operate alone on routine work, checking with supervision for answers when in doubt.