Patient Access Representative
Patient Access Representative
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Infusion Center
Schedule/Status:
8:00am4:00pm; Full Time
36
This position reports to the Patient Access Manager/Supervisor. The Patient Access Representative is responsible for promoting and demonstrating Parrish Healthcares Culture of Choice; timely and accurate processes associated with preregistration insurance verification precertification and insurance notification.
Key Responsibilities:
- Always follow AIDET (Acknowledge Introduce Duration Explanation Thank You) guidelines in all interactions with the patient.
- Always maintain professional image and demonstrate excellent customer service.
- Always use two patient identifiers (patient full name and date of birth) for accurate patient identification.
- Perform preregistration and insurance verification within 35 days prior to date of service for both inpatient and outpatient services. For notification received with less than 3 days advanced notice perform within 24 hours of notification.
- Meet/exceed performance expectations; completes work within the required time frame. 10 registrations per hour).
- Follow scripted benefits verification and precertification format in Health Information System (i.e. Meditech) custom benefits screen and record benefits and precertification information in the approved standard format.
- Assign Insurance Plans (IPlans) accurately.
- Perform electronic insurance eligibility confirmation and document results.
- Complete Medicare Secondary Payor Questionnaire as applicable for retention in imaging system.
- Calculate patient cost share and be prepared to collect via phone or make payment arrangement and document account with collection efforts accordingly.
- Contact patient via phone (with as much advance notice as possible preferably 72 hours prior to date of service) to confirm or obtain missing demographic information quote/collect patient cost share and instruct patient on where to present at time of appointment.
- Receive and record payments from patient for services scheduled.
- Utilize appropriate communication system to facilitate communication with Patient Access team and other hospital departments as necessary.
- Ensure appropriate documentation is entered in standard format on the patient record. This should be performed in the applicable Health Information System (i.e. Meditech) and if necessary any other subsidiary systems if they are not automatically updated.
- Contact physician to resolve issues regarding prior authorization or referrals.
- Research Patient Visit History to ensure compliance with payor specific payment window rules.
- Perform insurance verification and precertification follow up for prior days walkin admissions/registrations and account status changes by assigned facility as per guidelines.
- Communicates with hospitalbased Case Manager as necessary to ensure prompt resolution of pre existing noncovered and recertification issues.
- Complete ABNs (Advanced Beneficiary Notice) on all Medicare patients.
- Always serves to fulfill the mission; practices and adheres to the Code of Conduct/Standards of Behavior/Values.
- Demonstrates knowledge and understanding of organizational policies procedures and systems.
- Participates in process improvement initiatives.
- Performs other duties as assigned.
- Knows fire disaster and safety procedures and regulations as pertains to the work area.
- High School Diploma or GED required.
- 1 year to < 2 years related experience required.
- N/A
- Benefits Start on Day 1
- Health Dental and Vision Insurance
- 403(b) Retirement Program
- Tuition Reimbursement/Educational Assistance
- EAP Flex Spending Accident Critical and Other Applicable Benefits
- Annual Accrual of 152 Personal Leave Bank (PLB) Hours
Parrish Healthcare is a caring community of healthcare professionals passionate about excellence and fulfilling our mission of providing Healing Experiences For Everyone All The Time.
Parrish Healthcare has a Culture of Choice. This means a we have a healing work environment that empowers people to aspire to be their very best. We partner passionate talented and skilled people in the right role with the right resources. We provide a clear and strategic direction to achieve superior results on behalf of the communities we serve.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
