Patient Access Rep ER Registration Part Time

Shift: Saturday & Sunday 8:00am-8:00pm

Position Goal:

The Patient Access Representative responsibilities include ER registration, PBX, payer identification and verification, and point of service collections.  Vital functions include:  timely, accurate and complete data gathering and entry in the computer system(s) of patient demographic and benefit information, verification of benefits eligibility and limitations, coordination of benefits, determination and collection of patient’s financial responsibility at the point of service and satisfaction of regulatory requirements.  This position is vital to not only the patient satisfaction but the operations of the facility as well as the operational financial success. Essential is the ability to provide excellent customer service to patients, patients’ family members, healthcare providers, medical staff offices, and peers.

Position Responsibilities:

• Performs all elements of the patient intake process with proven accuracy by performing Master Patient Index inquiries using established identifiers to ensure non-duplication of medical records numbers. Demographic information is collected/updated in the system including emergency contact, telephone numbers, and financial information accurately.  Completes record before the end of daily shift.
• Benefits are to be identified, verified by computer or telephone, coordinated and entered in the system while fulfilling Medicare requirements and completing the Medicare Secondary Payer Questionnaire accurately.
• Determines and informs patient/guarantor of financial responsibility and collects at point of service, issuing receipts as appropriate to include outstanding balances.
• Appropriately document notes on each account.
• Consistently provides explanations and information to the patient and obtains signatures as appropriate.
• Ensures all forms are completed by the patient/guarantor at the time of service to include all payer specific required forms to include but not limited to, Tricare, Veterans Administration, and United Healthcare
• Accurately scans the patient ID, insurance cards, eligibility responses, payments, receipts, authorizations, notifications, referrals, and signatures to the patient’s account.
• Maintains proficiency in the use of all systems and communication devices essential to the efficient, effective performance of Patient Access functions.
• Supports the department goals for point-of-service collections by identifying the patient responsibility, communicating to the patient or responsible party at registration their financial responsibility to include collecting co-payments in the ER.
• Knowledgeable of Current Procedure Terminology Codes (CPT), ICD-10 Codes, and medical terminology.
• Knowledgeable of health insurance, benefit eligibility, and HIPAA (Health Insurance Portability and Accountability Act).
• Knowledgeable of EMTALA (Emergency Medical Treatment and Labor Act) and adheres to the set guidelines to ensure compliance.
• Reviews charts for accuracy and completes charts before the end of daily shift.
• Knowledgeable of procedures governing the arrival of Joint Commission and other groups.