Patient Access Representative

Your experience matters 

At Mercy Rehabilitation Hospital South, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you’ll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve.

How you’ll contribute 

This position will work under the direction of the Director of Business Development and Admissions Coordinator and be responsible for patient admissions, insurance verification and other insurance verification duties as directed.   This individual will be responsible for obtaining the necessary demographic information of the patient which may require interviewing patients or their representatives. This position is also responsible for preparing/processing admitting forms and keeps abreast of all new insurance updates and regulations.

ESSENTIAL FUNCTIONS:

♦    Processes referrals and coordinates admissions of all hospital patients in an efficient, responsive manner.  
♦    Coordinates the flow of information through the admissions process and forwards to appropriate departments for the successful completion of admission.
♦    Collect and record all information necessary for admitting patients.
♦    Immediately notifies appropriate rehab liaison to perform a clinical evaluation.
♦    Completes Insurance Verification Form with benefit and billing information.
♦    Pre- Admit all patients into appropriate EMR/Billing system – obtain correct general information.
♦    Contact patient’s insurance to confirm and determine amount of coverage and benefits, deductible due, length of stay and if pre-certification is required.
♦    Obtain Pre-certification for inpatient rehabilitation stay and document necessary information for case management to follow up once patient admits.
♦    Answers telephone promptly and courteously, providing information and completing all referral/intake forms as appropriate for each call.
♦    Notifies appropriate departments of patient’s anticipated admission date/time.
♦    Notifies the appropriate personnel of the anticipated arrival time of all inpatients.
♦    Inputs new referrals into EMR for clinical liaison to complete Pre-admission screen
♦    Informs the patient of their verified insurance benefits and refers them to the appropriate finance department for further billing questions. 
♦    Creates working patient files to track progress of patient’s admission
♦    Maintains confidentiality of patient medical records information in accordance with hospital’s defined policies and procedures.
♦    Completes admitting paperwork, obtaining appropriate signatures, reviews information with the patient and family, obtain patient identification and insurance cards for copy.
♦    Coordinates denial information with liaisons for follow-up communication to referral sources, families and physicians.
♦    Backup for liaison communication and referral tracking
♦    Must be cooperative and have the desire to be a team player.
♦    Must recognize and observe confidentiality principles.
♦    Consistently demonstrates the ability to organize tasks in order of priority.
♦    Consistently performs job duties in an independent manner with minimal direct supervision required.
♦    Performs other duties as requested by authorized personnel or as necessary for effective operation of the facility, including emergency situations.
♦    Follow the step by step procedure outlined by Admissions Coordinator when receiving referrals.
♦    Processes referrals and coordinates admissions of all patients in an efficient, responsive manner.  Assists with action plan for all pending cases to maximize conversion       of referrals to admissions.
♦    Prepares all forms completely and accurately prior to the arrival of all admissions.
♦    Maintains up-to-date statistical data in computer informa