Patient Access Representative - Hospital Intake

1. Registration
   1. Effectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty. Represents the Patient Access department in a professional, courteous manner at ALL times. Asks patients if they may have special needs. Calls patients by name, Greets patients in a courteous and professional manner. Prioritizes and completes registration in a consistent, courteous, professional, accurate and timely manner.
   2. Obtains necessary information from patient, including demographic information, insurance, guarantor, and correctly inputs it into registration software. If patient is already in the system, finds correct patient record and verifies information in the system.
2. Insurance and Benefits Knowledge
   1. Demonstrates knowledge of insurance plans, including understanding of varying payer rules and requirements related to insurance coverage and prior authorization
   2. Verifies eligibility (utilizing online eligibility software tools whenever possible) and obtains necessary authorizations for services rendered.
3. Financial Collections
   1. Uses proven customer service techniques and scripting to collect the patient financial obligation, at or before the time of service. Negotiates with patient to ensure a deposit is collected, in accordance with corporate policy and procedure.
   2. Understands and explains the details of the out-of-pocket calculation.

Position Requirements:

Experience
1 year relevant experience (registration, patient scheduling, customer service, billing, coding, finance, or accounting) in the healthcare industry
OR
Related certification (Certified Coder, Certified Medical Assistant, or Certified Healthcare Access Associate) or Bachelor's Degree substitutes for 1 year of experience.

Education
High School diploma or equivalent.

Skills
Advanced clerical and computer skills, critical thinking skills, ability to work in high-stress situations, professional appearance and behavior, good communication skills, dependability, flexibility, teamwork.