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Patient Access Rep at Christus Health

Posted in Other 30+ days ago.

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Location: Alexandria, Louisiana





Job Description:
POSITION SUMMARY:

Patient Access / Pre-Access Representatives facilitate a welcome and easy access to the facility and are responsible for establishing an encounter for any patient who meets the guidelines for hospital service. Patient Access / Pre-Access staff ensures that all data entry is accurate including demographic and financial information for each account. Patient Access / Pre-Access has numerous procedural requirements including data elements, insurance verification, authorization for services, collections for all patient portions including prior balances and balancing of cash at shift end. Patient Access / Pre-Access staff is responsible for the successful financial outcome of all patient services. Patient Access / Pre-Access communicate directly with patients and families, physicians, nurses, insurance companies and third party payers. This position requires professional appearance, behavior, and good communication skills. Patient Access / Pre-Access representatives require dependability, flexibility, and teamwork.

CORE COMPETENCIES

Action Oriented -- Taking on new opportunities and tough challenges with a sense of urgency, high energy and enthusiasm.

Customer Focus -- Building strong customer relationships and delivering customer-centric solutions.

Communicates Effectively -- Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences.

Decision Quality -- Making good and timely decisions that keep the organization moving forward.

Collaborates -- Building partnerships and working collaboratively with others to meet shared objectives.

Nimble Learning -- Actively learning through experimentation when tackling new problems, using both successes and failures as learning fodder.

Demonstrates Self-Awareness -- Using a combination of feedback and reflection to gain productive insight into personal strengths and weaknesses.

Goals -- Completes quarterly goals

Delivering the Mission -- Performs duties as defined in this job description and demonstrates mastery of role

MAJOR RESPONSIBILITIES:

* REGISTRATION / SCHEDULING

* Obtains and accurately inputs all required data elements for scheduling and registration, including patient demographic, financial information, guarantor information, and relevant notes associated with the encounter.

- Data fields include but are not limited to address, employment, insurance info, nearest relative, guarantor, insurance plan, admitting diagnosis, and physician information.

* Prioritizes and completes registrations / scheduling in a consistent, courteous, professional, accurate and timely manner.
* Ensures each patient is assigned only one medical record number.
* Selects appropriate patient type based on the department and services required.
* Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents. Knowledgeable of all such documents.

* Hospital care consent
* Notice of Visit
* Health Information Exchange (HIE)
* Important Message from Medicare (IMM)
* Medicare Outpatient Observation Notice (MOON)
* Financial Assistance Application
* Notice of Privacy Practices
* Patient Rights
* Documents in account notes.

* Insurance Verification / Explanation of Benefits

* Verifies eligibility and obtains necessary authorizations for services rendered.

* Utilizes online tools to verify insurance benefits, run medical necessity, determine estimate for services and process upfront collections.
* Answer Medicare Secondary Payor Questionnaire.
* Demonstrates accuracy in selecting insurance plans (I-plans).

* Knowledge and ability to review notes on all pre-admitted accounts and discuss with customer in a courteous professional manner

- Knowledge and ability to review and explain previous accounts

- Demonstrates contribution and achievement of department collection initiatives.

* CUSTOMER FOCUS

* Effectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty.
* Greets patients in a courteous and professional manner.
* Calls patients by name.
* Asks patients if they may have special needs.
* Represents the Patient Access / Pre-Access department in a professional, courteous manner at

* ErrorS

* Reviews Accureg daily to ensure a 99% accuracy rate.
* Requests additional education information when necessary.

Requirements:

One year experience in hospital registration or a comparable position preferred

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled