Patient Access Representative

Job Description

Job Description

Touchette Regional Hospital is seeking a Full-Time Patient Access Representative!!

Job Summary :

To perform all registration responsibilities at Touchette Regional Hospital for patients seeking admission, emergency treatment, and / or outpatient services. This includes but is not limited to : order entry tasks, checking for Medical Necessity, and verifying insurance eligibility. This position also requires verifying charity eligibility, collecting insurance copayments, deductibles, and all other responsibilities associated with processing a patient visit.

Essential Functions and Responsibilities :

• Exhibits excellent customer service skills during any function of the registration process, including understanding when an interpreter is needed, providing patients with additional information regarding Medicare responsibilities, or more information regarding medical directives.
• Assist in the flow of data between physicians, physician office staff, nursing floors, ancillary departments, emergency department, patient business services, insurance companies and patients while insuring patient confidentiality is not breached.
• Assists patients with verification and pre-certification of insurances and acts a financial advocate for self-pay patients.
• Treat patients and coworkers with courtesy and discretion. Greets and directs patients, salespeople, and visitors.
• Registers patients by verifying that patient's record is up to date and accurate. Makes appropriate changes in computer system.
• Enters confidential personal health information and financial information into computerized system with a high rate of accuracy.
• Collects payment from patients, applies payments and adjustments to patient accounts in the computer system, and reconciles daily cash reports.
• Verify that all tests pass Medicare Medical Necessity. In the event a test fails, ensures that the Advanced Beneficiary Notice (ABN) is created and presented to the patient along with an information sheet describing to the patient their options.
• Ensure that the Medicare Secondary Payer Questionnaire is accurately completed with the responses provided by the patient and adjust Medicare payment sequence when necessary.
• Verify insurance eligibility for each patient using system program, and update the record to reflect any updated information or changes necessary.
• Document any and all discrepancies in the patient record that affects insurance.
• Confirm charity eligibility for all self-pay patients that meet hospital criteria and discuss the outcome with the patients.
• Performs all other duties as assigned.

Minimum Qualifications :

Education

Experience

Certifications, Licenses, and Registrations

Skills and Abilities

Physical Demands :

FLSA Statement :

This position is classified as non-exempt under the Fair Labor Standards Act (FLSA). Employees in non-exempt positions are entitled to receive overtime pay for any hours worked over 40 in a workweek in accordance with state and federal regulations.

EEO Statement :

Touchette Regional Hospital is an equal opportunity employer and is committed to providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, or any other characteristic protected by applicable federal, state, or local laws. This policy applies to all terms and conditions of employment, including hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.