Arbor Health, an equal-opportunity employer, offers competitive compensation and excellent benefits for our employees.
Arbor Health is committed to providing a drug-free work environment. Pre-employment substance abuse screening is required as a condition of employment.
Information regarding the Family and Medical Leave Act (FMLA) can be found here.
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Patient Access Representative
Admitting and Clinics
The Patient Access Representative interviews patients to obtain necessary information, prepare admitting/registration forms, gather insurance information and perform other clerical/computer operational tasks related to the admitting of inpatients and outpatients coming into the facility at 90% accuracy. If a patient presents for an outpatient service that is typically a scheduled services, routes the patient to the Scheduling Representative.
- High school diploma or GED equivalent.
- One year computer training and/or experience. Medical insurance and/or hospital registration experience preferred.
- Strong attention to detail and demonstrated ability to use sound judgment in decision making.
- Excellent organizational skills with demonstrated time management skills. Ability to multi-task and prioritize.
- Ability to handle high workload volume.
- Ability to communicate effectively both written and verbal.
- Ability to be flexible and demonstrated ability to be adaptable.
- Knowledge of insurance coverage, billing and medical terminology preferred.
- Can operate computer, copy machine, switchboard, phone and fax efficiently.
Primary job responsibilities:
Patient Access Representative
- Is responsible for accurate registration of all patients' while maintaining regulatory and functional knowledge of all information required to register patient types in database which ensures timely & accurate reporting/billing.
- Gathers related information from various sources to produce completed chart and prepare patient for any service requested by physician.
- Is responsible for distribution of patient related materials and maintaining patient or designee's signature on all necessary consents, permits, financial forms, advanced beneficiary notices, Important Message from Medicare, as well as charity application, when applicable.
- Inputs patient information into computer to produce medical record patients' labels, bracelets, face sheets and important message from Medicare as appropriate. Scans at time of registration all insurance cards, state ID, and other signed registration forms such as Notice of Privacy, Permissions and Acknowledgments, consent for treatment, etc., as required.
- Is responsible for collection of patient owed co-pays as well as referring patient to financial assistance department, when applicable. End of day cash out procedure applies.
- Is responsible for utilizing insurance verification tools to accurately verify patients' insurance for patient walk-in services.
- Ensures the patient record is updated with accurate information and the insurance record reflects all appropriate insurance(s), appropriately prioritized in coordination with the information provided by the Verification/Authorization Representatives. (coordination of benefits)
- Is responsible for notifying the servicing department and the Verification/Authorization Representative when a patient checks in for a scheduled service with insurance information that is different from what was verified previously.
- Is responsible for notifying insurance companies that a member has been admitted to the Emergency Room, as an inpatient or an outpatient as appropriate by their insurance plan.
- Has an understanding and working knowledge of medical insurance benefits, Medicaid and Medicare regulatory requirements.
- Ensures all self pay accounts are checked for Medicaid eligibility and all Medicare primary patient accounts are checked for Medicaid eligibility when there is no secondary coverage for walk-in services.
- Coordinates with Nursing Services/Designee the efficient use of available beds, including inpatient, observation and skilled, while adhering to appropriate registration standard and notifies Verification/Authorization Representative II of the admission.
- Functions as a switchboard operator during shift. Responsibilities shall include but not be limited to, answer and route all incoming/inside telephone calls and direct public to appropriate area, and coordinate "codes", as applicable.
- Has strong attention to detail and demonstrates ability to use sound judgment in decision making.
- Understands and demonstrates the importance of satisfying the needs of the patient/customer by interacting with him/her in a friendly and caring way. Being attentive to the customer's needs, both psychologically and physically, by taking the initiative to maintain communication with the customer, assign payment accurately and ensure appropriate insurance notifications are done in order to provide a secure and pleasant experience throughout the patients' visit.
- Assists in the daily audit of all registered patients checking for accuracy and notifies original registration clerk of possible or necessary changes/updates when time permits.
- This job description lists typical duties for the classification and is not to be considered inclusive of all duties that may be assigned. Employee accepts and performs other duties as assigned.
- Employee is required to comply with all then-current and future policies and procedures and reports directly to the Patient Access Manager.
Standard for portrayal of mission and values:
- Employee demonstrates and fosters the Lewis County Hospital District No. 1 values of achievement, creativity and innovation, teamwork, quality, and integrity.
- Employee demonstrates and fosters the mission of Lewis County Hospital District No. 1 to provide our highest level of compassionate, diligent and professional medical care.
- Is cooperative and supportive to others within the department and hospital providing care and services.
- Treats individuals including patients, co-workers, supervisors, management, patient families, physicians, volunteers, visitors and others with respect, dignity and fairness.
- Behaves professionally and ethically in all interactions with patients, co-workers, supervisors, management, patients' families, physicians volunteers, and others.
- Is consistently courteous to patients, co-workers, supervisors, management, patient’s families, physicians, volunteers and others; greets individuals and provides assistance and direction in an attentive and helpful manner.
- Willingly strives at continuous quality improvement to achieve quality work the first time every time.
- Is willing to learn new procedures and develop new skills for the purpose of improving quality of care and services.
- Willingly participates as a member of work team(s) supporting the goals and objectives of the department and the district.
- When answering the telephone, is courteous to caller, clearly identifies department, name and takes a message or directs calls as necessary in a helpful manner.
Open until filled