Access Representative- Patient Registration - Variable

Secures valid data for the establishment of financial and medical records. Verifies insurance benefits, performs precertification, secures deposits, and established payments or referrals for payment sources. Acts as a support to the client for access to hospital services and to insurance companies.

• Coordinates effective day to day operations of an assigned area or designated patient population.


• Communicates patient/family health care needs to appropriate health care provider.


• Screens patients for referral to Financial Assistance Program and other government funded agencies .


• Participates as a member of the Care Team to achieve business goals, clinical/quality outcomes and customer satisfaction .


• Performs other related duties as assigned or requested.


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  • No specific complaints received/problems identified regarding lack of responsiveness
  
  
  • Answers phone and intercom system properly and delivers messages promptly and accurately.
  
  
  • Orients patient/family to unit/room, visiting hours, and policies.
  
  
  • Obtains and verifies precertifications on all patients with payor requirements
  
  
  • Maintains and balances cash drawer
  
  


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  • Processes all consults/stat orders accurately and timely.
  
  
  • Ensures proper communication to health care provider and other departments to meet patient/unit needs and follow up PRN.
  
  
  • Accurately provides diagnostic prep information when scheduling patients.
  
  
  • Informs appropriate staff when a scheduled patient has arrived.
  
  
  • Assists with distribution and updates required record of distributed radiology Reports
  
  
  • Initiates and maintains integrity of requests, patient jackets and film release documents.
  
  
  • Assists in collection and reporting of statistical data
  
  


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  • Screen patients for complaints of incomplete requirements.
  
  
  • Screen patients for inappropriate proof of income and documentation Submitted to Financial Assistance Committee.
  
  


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  • Provides assistance to team members as requested or necessary.
  
  
  • Participates on committees/councils as requested/required.
  
  
  • Communicates operational issues clearly and effectively within the team and outside the team as appropriate.
  
  
  • Safeguards confidential information.
  
  
  • Ensures all work areas kept clean and reports any equipment malfunctions to a supervisor.
  
  
  • Regular and timely attendance is required for this position.
  
  
  • Performance of duties will be in compliance with all laws and regulations governing healthcare organizations
  
  


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  • Contributes to the daily operation of the division/department by performing other roles as needed.
  
  
  • Completes special duties/projects as assigned.
  
  

Education:

• High school diploma or GED equivalent.

Experience:

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  One year previous clerical experience, preferably in a healthcare setting in the areas of admissions and/or billing, with an emphasis on customer service.