Patient Access Rep I - Outpt M-F 5a-130p-7457-11421

Description

Performs receptionist, registration, and clerical duties associated with direct and scheduled patient admissions.

Reports to : Patient Access Supervisor

Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness and accuracy.

Distributes and explains forms, documents, and educational handouts to patients or family members. Meets with patient or patient's caregiver before or after admission to exchange necessary information and documentation.

Provides explanation of process and addresses concerns and questions. Communicates with admitting physician's office, nursing unit staff, and / or other appropriate personnel regarding admission to exchange necessary information and determine placement.

Maintains current knowledge of all rules and regulations governing third party admissions / registrations and pre-certification requirements Verifies insurance eligibility and creates estimates based on services rendered, including co-pays, deductibles and out-of-pocket amounts.

Verifies precertification / authorization on file matches test / procedure / services being performed. Maintains an acceptable registration error ratio & collection goal.

Qualifications

Minimum Education

High school diploma or equivalent - Required Minimum Education

Two years of college or medical office specialist education - Preferred Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Must be able to function appropriately in a multi-task setting. General understanding of medical terminology and medical insurance. Minimum Work Experience

2 years experience in hospital patient access / registration or medical office with emphasis on medical insurance and collections / accounts receivable - Required

Appropriate level of other hospital clerical or relevant customer service experience given consideration in lieu of

Administration / ClericalTennessee-Gallatin

Schedule

Last updated : 2024-05-08