Patient Access Associate

Position Summary

Responsible for the registration of patients, including patient interviews, pre-certifications, and handling routine patient inquiries and problems. Ensure continuity through each department for services rendered and explanation of Crossing Rivers Health policies regarding visitation, payment of charges, and services available.

Essential Job Functions

• Efficiently register inpatients and outpatients, obtaining complete and accurate information and distributing forms to appropriate departments.
• Check for accuracy and typographical errors during registration.
• Conducts Insurance Verification using automated capabilities.
• Conduct pre-registration activities to assist in reducing wait times.
• Promptly phone insurance companies to pre-certify inpatient and same day surgery patients, as well as some outpatient procedures.
• Routinely run daily census sheet, verify admissions and discharges with admission book; distribute census sheet and list of patients to appropriate departments and staff.
• Obtain proper signatures for consent of treatment, authorization of release of information, and assignment of benefits.
• Verify, on a daily basis, accuracy of admissions. Complete discharges and room transfers in EPIC.
• Contact Utilization Review Coordinator, when necessary.
• Maintain scheduling for outpatient clinic appointments and interact with physicians in a professional, approachable manner. FAX schedules to appropriate clinics and deliver to appropriate hospital departments.
• Distribute morning newspapers to appropriate locations within the facility.
• Distribute admissions papers to appropriate departments, including maintaining copies in the Patient Registration department.
• Receive and interview incoming patients or relatives to obtain pertinent data for pre-registration documents; pre-certify with insurance, when necessary.
• Initiate pre-admit patients for their SDS or inpatient stay.
• Pre-register outreach clinic patients and get packets ready for the day of service; make reminder phone calls.
• Provide assistance to Emergency Department, as requested by the RN, which may involve/require some direct patient contact and/or care.
• Conducts Medicare Medical Necessity checking using Advance Beneficiary Notice (ABN) automated capabilities.
• Conduct point-of-service collections.
• Perform pre-registration for rehabilitation, same-day surgery, medical imaging and other departments as assigned.
• Participants in Key performance indicators including Point-of-Service Collection (e.g. 2% of overall net revenue), Pre-registration verified at 100% and Registration accuracy greater than 95%.
• Adequately perform all other duties as deemed necessary for the continued viability and success of the department and organization as a whole.

Required Competencies

• Accountability – Ability to accept responsibility and account for his/her actions.
• Communication – The ability to get one’s ideas across to others through oral or written means and to understand the ideas of others through effective listening skills.
• Customer Oriented – Ability to take care of the customers’ needs while following company procedures.
• Friendly – Ability to exhibit a cheerful demeanor toward others.
• Honesty/Integrity – Ability to be truthful and be seen as credible in the workplace.
• Patience – Ability to act calmly under stress and strain, and of not being hasty or impetuous.
• Relationship Building – Ability to effectively build relationships with customers and co-workers.
• Reliability – the trait of being dependable and trustworthy.
• Responsible – Ability to be held accountable or answerable for one’s conduct.
• Working Under Pressure – Ability to complete assigned tasks under stressful situations.

Reasonable Accommodations Statement

To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.

Education:

• High School Graduate or General Education Degree (GED): Required

Experience:

• No prior experience necessary
• Experience in a healthcare setting/professional environment helpful

Computer Skills:

• Basic computer proficiency
• Epic experience helpful

Certifications & Licenses:

• Maintain certification in CPR

Other Requirements:

• Knowledge of healthcare/insurance/medical terminology preferred