JOB SUMMARY
Responsible for duties in support of departmental efficiencies which may include: but not limited to performing, registration, patient pre-admission and admission, reception and discharge functions. Must obtain complete and accurate patient demographic information. Patient Access representatives also must employ proper, compliant patient liability collection techniques before, during & after date of service.
· To perform this job successfully, an individual must be able to perform each essential duty satisfactorily
· Minimum typing skills of 25 wpm
· Customer service skills and experience
· Ability to work in a fast paced environment
· Ability to receive and express detailed information through oral and written communications
· Must be able to perform essential job duties in at least two Patient Access service areas including ED
· Must be able to appropriately interpret physician orders, medical terminology and insurance cards
· SVMC requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment
· Must be able to sit at computer terminal for extended periods of time
· Occasionally lift/carry items weighing up to 25 lbs
· Can work in patient care locations which include potential exposure to life-threatening patient conditions
· Must be available to work hours and days as needed based on departmental/system demands
· Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients.
Responsibilities
· Responsible for duties in support of departmental efficiencies which may include: but not limited to performing registration, patient pre-admission and admission, reception and discharge functions
· Must obtain complete and accurate patient demographic information
· Patient Access representatives also must employ proper, compliant patient liability collection techniques before, during & after date of service
· Greeting customers following SVMC standards, provides world-class customer service, completes full patient registration at date of service, adheres to financial & cash control policies & procedures, thoroughly explains and secures Hospital & patient legal forms (i.e., Advance Directives, Conditions of services, Consent for treatment, Important Message from Medicare, EMTALA, etc.). Scan Protected Health Information, create and file patient information packets/folders for upcoming Hospital services
· Educates patients about patient financial liabilities, employs proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures
· Secures medical necessity checks/verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors
· Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
· Builds and maintains collaborative relationships with both internal and external Clients that lead to more effective communication and a higher level of productivity and accuracy
· Frequent prolonged standing, sitting, and walking
· Occasionally push a wheelchair to assist patients with mobility problems
· Resolves Physician's office and Patient issues
EDUCATION / EXPERIENCE
• High School Diploma or GED required
• 0 – 1 year in a Customer Service role.
• 0 – 1 year administrative experience in medical facility, health insurance, or related area preferred
PI270613131
