Certified Patient Access Rep. - Main Admissions

Position: Certified Patient Access Representative

Department: Patient Access Services, Main Admissions; Yawkey Building

Schedule: 40 hours, M-F 8:00a-4:30pm

POSITION SUMMARY:

Ensures that the surgical and procedural patient registration and billing information is complete and accurate. Provides support as needed to all clinical staff. Must be able to function in central treatment area environment. Performs full registration and obtains, verifies and records personal, demographic, financial and visit-specific clinical information. Prioritizes and multi-tasks in a steady-paced clinical environment.

JOB REQUIREMENTS

EDUCATION:

High School Diploma/GED

CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:

Internal Candidates:

Certified CHAA - Certified Healthcare Access Associate through NAHAM - National Association of Healthcare Access Management

External Candidates:

Obtain certification in CHAA - Certified Healthcare Access Associate through NAHAM - National Association of Healthcare Access Management within 16 months of employment.

EXPERIENCE:

• 3-5 years of registration related experience OR a minimum of 3-5 years customer service experience

• Internal Candidates: In addition to registration experience, you must have a proven Quality Assurance score average of 95% or higher for at least 12 months

KNOWLEDGE AND SKILLS:

• Sound judgment and critical thinking

• Ability to prioritize and handle multiple tasks in a very busy environment

• Strong organization and follow-through skills

• Basic computer literacy required

• Accuracy and attention to detail

• Ability to work independently and as a part of a team

• Strong customer service and interpersonal skills

• Strong communication skills

• Must be flexible and able to function within a team

• Ability to maintain composure in stressful circumstances

• Basic computer skills and/or facility to learn computer skills required for MS Outlook, Epic IND123

ESSENTIAL RESPONSIBILITIES / DUTIES:

• Delivers outstanding customer service to both internal and external customers.

• Ensures the integrity of the data in the hospital's information system with respect to patient demographic, insurance and admission information.

• Verifies patient insurance using various methods.

• Applies knowledge of payer requirements and guidelines to ensure effective reimbursement.

• Assists in ensuring adequate departmental coverage when needed. This includes covering in the Admitting or Emergency Department at the direction of the Patient Access Team Coordinator.

• Participates in holiday coverage rotation.

• Conducts inpatient interviews.

• Secures patient valuables.

• Documents accurate information on all patient accounts to ensure an effective workflow throughout the organization.

• Demonstrates ability to handle difficult situations by using effective problem solving skills.

• Serves as a resource for patients and others with questions regarding registration, insurance eligibility and patient admission.

• Collects insurance copays from patients.

• Collaborates with others to ensure a positive and effective patient experience.

• Demonstrates ability to work independently and as part of a team in a fast paced environment with constant interruption.

• Flexible availability to accommodate work coverage requests.

• Able to accurately type at least 40 words per minute.

• Relates effectively to various types of customers in a professional and courteous manner.

• Utilizes supervisor or manager to resolve issues/concerns as needed.

• Attends and participates in departmental meetings.

• All other duties as assigned.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).

Equal Opportunity Employer/Disabled/Veterans