Kadlec Regional Medical Center has an exciting opportunity for a Patient Access Representative I to join our growing Patient Access team located in Richland, Washington!
Shift Details: Full-time, Variable Shift, 1 FTE.
Required qualifications for this position include:
Preferred qualifications for this position include:
General office experience.
Bi-lingual or multi-lingual skills.
Duties include, but are not limited to, the following:
As a Patient Access Representative Level I, you will perform patient registration and pre-registration of scheduled accounts, verifie insurance coverage, benefits, and obtain pre-certification, referral or authorizations as needed per insurance requirements; Participate in the collection of up-front revenue due the facility and provide quality customer service to internal and external customers.
Obtain complete and accurate demographic and financial information from a variety of sources, including patient interviews, physician offices and in-house departments.
Perform required pre-certification and deposit collection.
Enter data in computer and thoroughly documents any incomplete admissions/registrations in manner prescribed.
Obtain pre-certification, referral or authorization number and updates the patient's file.
Provide demographic information to insurance companies and calls physician's offices as needed for pre-certification.
Notify patients or family members of any insurance coverage issues that may result in coverage reductions.
Notify patients of co-payments, deductibles or deposits needed.
Provide patients with estimated cost for services.
Complete Compliance Checker Process in accordance with Regulatory Guidelines.
Read physician order to differentiate patient registration type; i.e., pre-registration, registration, emergency and processes data accordingly.
Obtain all required documents and signatures.
Revise, add and update pertinent patient demographic and financial information in accordance to hospital policy and department procedure.
Perform other clerical tasks to support supervisor; (i.e., typing memos, correspondence, and QA related reports).
Operate the in-house communications, i.e., page at appropriate times, announcing codes, and fire and disaster alarms as described in the procedure manual.
Adhere to standard policies as outlined in department related to infection control, fire and safety, hazardous chemicals, personnel policies and departmental procedures.
Maintain good relations with all parties and respects patient's right to privacy.
Participate in unit and house-wide quality improvement activities in order to improve patient care and comply with regulatory such as Leapfrog and Core Measures.
Pacific Medical Centers