Patient Access Representative - Cottonwood, AZ

* Demonstrates ability to navigate web-based products or system applications required for registration or scheduling.

* Accurate identification of patient for direct data entry of required clinical, demographic, and insurance information to the electronic medical record during registration or for appointment booking of assigned diagnostic procedures.

* Provides general explanation of scheduled procedures and patient instructions that are necessary for conducting diagnostic medical services.

* Ensures system documentation specific to the patient visit is entered and accurately reflects activities related to patient or provider contact, order documentation, insurance verification, financial education, and payment.

* Provides explanation of legal forms and secures signature of patient/authorized party as required for services.

* Demonstrates basic understanding of compliance standards required within a healthcare environment including EMTALA and HIPAA-Privacy Patient Confidentiality regulations.

* Accurate identification and selection of insurance carrier in the patient medical record for specified dates of medical services.

* Navigation of web-based products or system applications to initiate and document insurance eligibility, benefit details, and authorization requirements.

* Performs required notifications to ensure insurance authorization for identified medical services, surgical procedures, and inpatient/observation stays are secured and documented.

* Demonstrates basic knowledge of CPT and ICD10 diagnosis coding documentation as required for medical services.

* Demonstrates basic knowledge of regulatory or Third Party Payer insurance requirements including Medicare, AHCCCS/Medicaid, Workers Comp and other commercial payers.

* Educates the patient on insurance eligibility, coverage, and availability of medical financial assistance program(s).

* Collects identified patient financial liabilities; performs secured payment entry and deposit/cash reconciliation steps.

* Performs PBX Switchboard functions as required for answering and routing of internal/external calls; paging codes and fire alarms; handles department call volumes as assigned to appropriately respond to requests from patients, providers, or other hospital departments.

* Acts as a resource for clinical departments for registration/scheduled services related to data entry of patient account fields, provider order requirements, and questions regarding insurance coverage or financial assistance.

* Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.

* Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.

* If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.

* Completes all company mandatory modules and required job-specific training in the specified time frame.