Patient Access Representative I

Job Description

Job Description

Job Summary : Register’s patients begin admitted to the hospital or receiving outpatient or ER treatments by obtaining appropriate demographic, insurance, and medical information. Provides estimates for services, if applicable, receives and processes patient financial liability payments for current and past balances. Supports management and performs all duties in a manner which promotes team concept and reflects the mission and philosophy of White River Medical Center.

Job Duties :

Verifies patient ID with proper documents (driver’s license, ID card, Passport, etc.) and collects / enters accurate demographic and guarantor information and financial data for all patients that are registered into the system.

Verifies all insurance coverages using AccuReg or website and / or a telephone call. Enter the correct insurance payer into the patient account. A card must be requested at every date of service

Makes sure all insurance requirements are met at the time of service such as PCP requirement, medical necessity requirement, and IMM form. Obtains patient’s signature in ABN if self-pay.

Obtain complete information for motor vehicle accident, school accident, and workman’s compensation claim, fills out accident-related forms when applicable and notes the information on the registration form.

Scans all appropriate documents into patient chart. Places all scanned documentation into the correct categories in the scanning process.

Accurately estimates the patient financial liability (copayments, deductibles, coinsurances, deposits, etc. via obtaining accurate demographic and financial information).

Explain and discusses patient financial responsibility, answers questions if any, request co-pay, estimated liability, or deposit per point of service policies as appropriate, and receives / processes their payments. Maintains necessary petty cash to properly service and receive payments.

• Performs collections of patients with outstanding accounts receivable.
• Properly receipting and forwarding all copies of patient payment receipts posting to the patient’s account in appropriate system.

Answers department telephone, relays verbal and written messages promptly and accurately.

Answers main telephone lines when the PBX is not answered, transferring calls to the appropriate departments and patient rooms Knowledge of all the PBX policies. Understanding of the proper process when calling an emergency code. Performing the code timely and professionally.

Accurately completes procedures for patient status / room transfers using the worklist, phone calls or faxes from the floor or providers.

Perform end of day duties closing and reconciliation duties in appropriate system and reconcile deposit slips.

Participates in orientation, training, and cross training for new employees.

Performs other duties as assigned by supervision.

Qualifications : Insert applicable data into the 3 categories. This is where you should list a summary of the desired & required qualifications. Include certification and / or licensure when appropriate.

High School Diploma or equivalent

Previous experience required in one or more of the following roles :

Essentials :

Physical Demands : Job responsibilities require to work on computer for extended hours and visit patients to their rooms to obtain information and / or signatures required for proper registration. If working for Emergency Room, the individual must be able to quickly reach to the EMS entrance to register patients. The individual must be able to utilize a keyboard and mouse. The individual must be able to communicate orally and in writing face-to-face and on the phone. The individual must also be able to maneuver throughout the halls, stairways, and patient rooms in response to hospital emergencies. Interpretation of environmental input requires visual and auditory skills.