Patient Access Representatives, Full Time, Part Time, and Per Diem - Mountains Community Hospital

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.

Requirements and Responsibilities FO:

Answering main telephone lines courteously, timely & direct calls appropriately. Obtaining accurate demographic and insurance information prior to services, 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. Completing pre-verification & registration on the radiology schedule daily.  Work closely with local rehab facilities to ensure effective & efficient registration prior to arrival, therefore expediting the process when the patient is present.  Work on independent projects.  Dispense lunch cards & document purchases.  Coordinate surgeries/procedures/infusions etc., with the Operating Room, Doctors Offices, insurance and patients.  Schedule patients for the Patient Portal & assist them in the process.  Document and track the Patient Portal to be compliant with Meaningful Use Standards.  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. 

       

LANGUAGE SKILLS

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.  Ability to write routine reports and correspondence.  Ability to speak effectively before groups of customers or employees of organization.  Bilingual in Spanish preferred.

MATHEMATICAL SKILLS

Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals.  Ability to compute rate and percentages.  Ability to collect cash and reconcile.

REASONING ABILITY

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.  Ability to deal with problems involving several concrete variables in standardized situations.

OTHER SKILLS AND ABILITIES

Computer skills.

Typing skills 30-50 wpm.

Ability to maintain calm and work under stressful situations.