Acute Patient Access Services Representative

Primary City/State:

Brush, Colorado

Department Name:

Patient Accounting-Hosp

Work Shift:

Day

Job Category:

Revenue Cycle

Primary Location Salary Range:

$19.06 - $28.60 / hour, based on education & experience

In accordance with State Pay Transparency Rules.

Schedule: Monday - Friday 8:00am to 5:00pm (May vary depending on business needs)

Hours are not guaranteed/Per Diem/No benefits with this role.

Enjoy a flat rate $1/hour weekend shift differential when applicable.

Must be able to complete a 8-week paid training Monday - Friday 8:00am to 5:00pm

Nestled in the high plains of northeastern Colorado, Brush is full of small-town charm and rich history.  State Wildlife areas and state parks offer hunting, wildlife viewing, fishing, hiking and water activities yea- round.  In-town recreation includes golf, four local parks, an outdoor swimming pool, and a roller-skating rink.

Explore and excel. At Banner, health care is a team effort.  One might be surprised by the number of people who work behind the scenes and play a critical role in ensuring the best care for our patients.  Apply today.

East Morgan County Hospital is a 25-bed licensed critical access facility, level IV trauma center, offering a full array of health care services and two clinic locations: Banner Family Medicine Brush and Banner Health Clinic Fort Morgan. East Morgan County Hospital is in Brush, Colorado, 1-hour northeast of Denver. Situated in the agriculturally rich South Platte River valley, Brush is home to 5,500 people and serves over 15,000. The community thrives on its rural pace and charm and is revered for its “Homegrown Happiness!” Nestled in the wide-open plains of northeastern Colorado, Brush boasts a rich history and limitless outdoor recreation. With award-winning fishing and boating nearby, numerous parks and biking trails, some of the best of Colorado is here.

Accredited by The Joint Commission and Designated as a Pathway to Excellence hospital, East Morgan County Hospital brings together state-of-the-art technology and an exceptional team of health care professionals to provide the most compassionate, innovative, and personalized care possible. As a District owned hospital, operated by Banner Health, East Morgan County Hospital can provide the small-town, close-knit atmosphere all while having the resources of a large hospital system in the rural setting.

POSITION SUMMARY

This position is the first point of contact at healthcare facilities and assists patients with the administrative aspect of gaining access to medical treatment. This position is in a hospital-based setting which includes Emergency Dept, Inpatient, Obstetrics, Outpatient, etc. Responsible for in person patient intake and registration, providing superior customer service, accurately identifying, and obtaining authorizations patients’ insurance, verifying eligibility and benefits, generating patient estimates for services rendered, financial counseling, and collecting patient liability. Demonstrates the ability to resolve customer issues and provides excellent customer service.

CORE FUNCTIONS

1. Verifies patient’s demographics and accurately inputs this information into EHR, including documenting the account thoroughly to maximize reimbursement and minimize denials/penalties from the payor(s).

2. Proficiency with multiple services including, but not limited to inpatient, observation, emergency, obstetrics, surgery, imaging. This position may cover services 24/7.

3. Demonstrates a thorough understanding of insurance guidelines for all services. Proficiently verifies, reads, and understands insurance benefits.

4. Demonstrates proficient understanding that this position creates the first impression for our patient's experience with Banner Health. Demonstrates a positive patient experience through interactions and effective communication.

5. Proficient understanding of payer authorization guidelines. Accurately submits timely notification according to insurance guidelines using various systems to reduce/eliminate denials. Consistently meets all registration related key performance indicators as determined by management.

6. Obtains federal/state compliance information, consents and documentation required by the patient’s insurance plan(s). This includes a thorough understanding of accurately completing hospital-based compliance forms required by CMS. Uses multiple computer applications proficiently.

7. Consistently discusses financial liability with the patient(s) and/or families tha