What are the responsibilities and job description for the Patient Access-Per Diem Pt. Access Representative position at Mountains Community Healthcare?
SUMMARY
Requirements and Responsibilities ED:
Answering main telephone lines courteously, timely & direct calls appropriately. Obtaining accurate demographic and insurance information, thus reducing financial risk of denials & delayed collections, for patients being admitted into the hospital, for any type of services. Ensures insurance coverage by telephone or website and resolves any issues with coverage and relays complicated issues to the manager. Identifies the need for authorization of services to be rendered & calculates the patient’s financial responsibility. The collection of co-payments and payments on accounts. Guide patients to understand their insurance benefits. Interviews patients, completes and distributes all paperwork, including medical records, necessary to ensure the admitting process is efficient and all hospital and regulatory policies are in compliance. Assist in clinical clerical functions including but not limited to, coordination of patient movement, i.e. transfers, discharges, etc. with physicians/nursing staff and all appropriate departments, including outside facilities. Confirms chief complaint of patient presenting to Emergency Department and immediately notifies Emergency Department nurse/physician. Initiates and coordinates lab and imaging orders and results. Has knowledge of commonly used concepts, practices and procedures within a particular area. Documents all Emergency Department patients in the Hospital Log per state requirements. Relies on instructions and pre-established guidelines to perform the functions of the job. Works under immediate supervision. A certain degree of creativity and latitude is required. Reports to the department manager.
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION/EXPERIENCE
High school diploma or general education degree (GED); or one to three years related experience and/or training; or equivalent combination of education and experience.
Previous receptionist/customer service experience preferred.
Basic medical terminology experience preferred.
Medical billing experience preferred.
CERTIFICATES, LICENSES, REGISTRATIONS
CPR certificate required within 6 weeks of start date.