Patient Access Rep I

Overview

At Emory Healthcare, we integrate science and caring to change the face of health care. Our team members are courageous individuals who are willing to challenge the status quo and help find solutions to complex problems. We're empowered to influence change for, and with, our patients, their families, the community and each other.

As one of the leading academic medical systems, we're eager to share what we learn with hospitals around the country, and the world. We've got the backing, knowledge, experience and permission to lead the way in developing new and better approaches to preventing and treating disease, and our patients get treatments years before anyone else.

We're defining a new standard of care for humankind. Are YOU ready to join us?

Position Hours- 7p-7:30a

Description

JOB DESCRIPTION:

• A Patient Access Representative will assist in the coordination, prioritization and completion of front-end patient registration activities ranging from pre-registration through discharge in the Patient Access Services Department.

• The representative will ensure patient insurance verification is accomplished and all requirements are met.

• Accurately completes patient registrations based on departmental protocols and standards, policies and procedures, and compliance with regulatory agencies.

• Calls patients to pre-register or confirm appointments.

• A Patient Access Representative prioritizes work for optimal reimbursement and to avoid financial risk to both patient and hospital.

• Ensures all insurance requirements are met prior to or on the date of service and informs patients of their financial liability and collects liability due.

• Identifies patients who require early financial counseling intervention.

• Ensures all uninsured patients are referred to a financial counselor as appropriate.

• A Patient Access Representative will also assist patients, guarantors and families with insurance questions in a professional manner and is responsible for escalating any unaddressed insurance benefit concerns to the department Financial Counselor.

• Maintains confidentiality of patient information, employee information and other information covered by regulations or professional ethics.

• Performs duties in support of the EHC Patient Access Mission Statement.

• The Patient Access Representative is a self-motivated individual with demonstrated ability in time management, handling high patient volumes in a fast pace setting.

• Maintains thorough understanding of insurance, registration, scheduling, referrals, authorizations, and account follow-up.

• Maintains knowledge of multiple department system applications utilized by Patient Access.

• Familiar with and adheres to all state and federal regulations such as EMTALA, CMS, HIPAA, and JCAHO guidelines.

• Effectively communicates identified issues and concerns in a constructive and professional manner.

• Participates in generating ideas and solutions for improvements.

• Responds in a timely and appropriate way to verbal and written requests.

• Accurately searches the database to establish if patient is new or an established patient.

• Obtains required signature for release of information in a timely manner, adhering to policy and procedures.

• Completes registration by verification of information and insurance for established patient or entering information for new patient prior to discharge of patient.

• Reconfirms date of birth and legal spelling of the patients name. Obtains appropriate signature(s) and scans all appropriate documents (Admission/Registration Agreement, Notice of Privacy Practice, and Important Message from Medicare, etc.).

• Scans patient id and insurance cards.

• Makes every attempt to collect patient liability as appropriate and documents the response if not collected.

• Appropriately distributes registration paperwork according to departmental procedures.

• Schedules procedures/follow-up appointments.

• Communicates hospitals financial policies to all patients.

• Call patients to pre-register or confirm appointments.

• Maintains appropriate monthly assurance accuracy rate as determined by the department.

• Maintains established departmental standards regarding productivity, quality, and collections.

MINIMUM QUALIFICATIONS:

• High school diploma or equivalent preferred.

• Working knowledge of Health Plan coverage types.

• 1 year of related experience in a healthcare or institutional work setting, or customer service.

• Registration/telephone/call-center; pre-registration/scheduling experience preferred.

• Excellent interpersonal, verbal, and written communication skills and ability to speak and write effectively at a level appropriate for the job.

• Ability to work well with individuals at all levels of the organization.

• Experience using general office equipment.

• Proven ability to work in a fast-paced, demanding team environment with daily deadlines.

PHYSICAL REQUIREMENTS (Medium Max 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.

Additional Details

Salary: min- max/hour $15.95-$27.70

The grade and salary of the position are based on specific criteria met within the qualifications of each level, relevant experience, skills, performance and internal equity. This position is eligible for shift differentials.