Job Summary
In a medical setting a patient access representative is the first point of contact for a patient. This includes registration scheduling patients and/or pre-registration functions. Processes the necessary information for admittance and insurance billing.
COMPANY DESCRIPTION
Frye Regional Medical Center located in the beautiful foothills of North Carolina is a 355-bed acute care hospital 81-bed Behavioral Health facility and more than 70 primary and specialty care providers.
Essential Functions
- Provide exemplary Customer Service
- Assign the correct medical record number and notify HIM for any duplicate patient records
- Schedule all appointment types including the most complex across all facilities with a high degree of accuracy
- Answer incoming calls in a timely and professional manner
- Review clinical documentation and submit to insurance companies for initiation and obtaining authorization or pre-certification on OP diagnostic hospital services.
- Pre-registration of scheduled procedures
- Register patient by obtaining and entering accurate demographic information at designated workstation or at bedside.
- In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house. Provide estimates to patients and/or physicians as requested
- Work closely with the physician office staff to ensure that pre-cert/authorization numbers are entered in the scheduling or registration system
- Follows all guidelines set forth in the Cash Handling policy.
- Explain benefits to the patient and/or family member as needed in person and telephonically.
- Obtain insurance and photo identification card copies
- Assign insurance plans accurately
- Scan appropriate order into the correct patients account
- Relays information between patients family members and clinical staff as needed
- Updates demographic information as needed
- Obtain signatures on documents needed to complete the registration process.
- Assists patients during the checkout & Pre-registration process by calculating and collecting a payment information and posting payments accordingly
- Cross trained to register patients in any registration area.
- Assist with training of new employees
- Works Revenue Cycle reports when assigned
- Other duties as assigned
- Knowledge Skills & Abilities
- Communication-communicates clearly and concisely verbally and in writing
- Customer orientation-establishes and maintains long-term customer relationships by building trust and respect
- Interpersonal skills-able to work effectively with fellow coworkers and clinical staff members
- Basic skills-demonstrates the ability to organize and perform multiple tasks accurately in a timely manner in a fast paced environment
- PC skills-knowledge of Microsoft Offices and other required applications
- Policies and Procedures-demonstrates knowledge and understanding of organizational policies and procedures.
Qualifications
Minimum Education
- High school diploma or equivalent required
Minimum Work Experience
- 3 years experience in medical facility health insurance or related area preferred
- 3 years in Patient Access preferred.
- Medical terminology knowledge preferred.