Patient Access Representative (PRN, Rotating Weekend Days, only)

Position: Patient Access Representative, PRN

Classification: Non-Exempt

Shift: Rotating Weekend Days (only)

Summary/Objective

The Patient Access Representative I is responsible for performing all admitting procedures for patients presenting to the Emergency Room.

Required Education And Experience

• High School diploma or GED.
• Must be efficient with keyboarding and computer applications.
• One (1) year of experience in healthcare financial counseling.
• One (1) year of experience in hospital or medical office setting.
  
  

Preferred Experience

• Experience with hospital information systems and hospital insurance applications preferred.
  
  

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

• Interviews incoming patient or representative and enters information required for admission into health information system.
• Obtains required signatures from patient and/or representative for consent of care and any other required documents per hospital policy and protocols. Documents how consent was obtained or not obtained from responsible parties.
• Enters, records, stores, and maintains information in written and electronic form.
• Interviews patient or representative to obtain and record individual and/or company insurance responsible for payment of bill.
• Explains hospital regulations, such as visiting hours and payment of accounts.
• Provide a smooth flow of patients through the admitting area/ER, directing or escorting patients as necessary to the appropriate department.
• Understand the functional status and physical needs of patients, staff, and visitors to the hospital and assists in those needs.
• Maintain a working knowledge of community services and resources available to all patients. Refer patients as necessary to the appropriate agency or department.
• Records all emergency room patients seen on the electronic ER log related to each account.
• Accepts payments and issues receipts, collects co-payments and deductibles, and reconciles petty cash drawer at the end of each shift.
• Processes telephone communications in an efficient and courteous manner for patients, physician, general public, and hospital staff.
• Pages for medical staff, disaster and emergency codes as required by policy. Pages should be done in a clear, distinct, and audible voice.
• Run a daily registration quality report before the end of each shift to check the accuracy of registrations and make corrections as necessary.
• Controls visitor access to hospital after hours, clears any afterhours visitors with Charge Nurse, and issues visitor pass as appropriate.
• Fosters high levels of customer service and releases only appropriate patient information while ensuring HIPAA compliance is followed. Refers all other medical information releases to HIM for processing.
• Ensures all patient information is safeguarded and kept confidential according to prescribed policies and procedures.
• Analyze information and evaluate results to choose the best solutions available and solve problems as they arise.
• Develop constructive and cooperative working relationships with others; ensure flow of communication within department.
• Interviews, corresponds with, and counsels the patient and/ or patient’s family regarding information relative to insurance, employment, and financial ability to pay.
• Verifies insurance benefits prior to admission for all planned admissions and as soon as reasonably possible after admission for all emergencies.
• Coordinates pre-certification process between hospital and physician offices to ensure that all required procedure and surgery pre-certifications are completed in a timely manner.
• Initiates pre-certification process for Emergency Medicaid patients who require CT/MRI procedures.
• Will cross-train other admissions personnel for cross coverage as necessary.
  
  

Competencies

• Financial Management.
• Ethical Conduct
• Leadership
• Technical Capacity
• Customer/Patient Focus
• Teamwork Orientation
  
  

Supervisory Responsibility

This position has no supervisory responsibilities.

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, copiers, filing cabinets, and fax machines.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. This is largely a sedentary role; however, some filing is required. This would require the ability to lift files, open filing cabinets, and bend or stand as necessary.

Position Type/Expected Hours Of Work

This is a PRN position. This is a 24 hour department and the employee must be available during the “core” work hours. Occasional overtime may be required as job duties demands.

Travel

No travel is expected for this position.

Additional Eligibility Requirements

• Experience with hospital information systems and hospital insurance applications preferred.
  
  

At Will Statement

Monroe County Hospital is considered at will. “At will” means that you may terminate employment at any time, with or without cause or advance notice. “At will” also means that Monroe County Hospital may terminate employment at any time, with or without cause or advance notice, as long as federal and state laws are not violated.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee of the job. Duties, responsibilities, and activities may change at any time with or without notice.