Patient Access Representative - Patient Access Center

About This Role

Patient Access Representatives provide a welcoming and accessible entry point to the facility, creating an encounter record for all patients meeting hospital service guidelines. This role requires a professional, dependable, and flexible individual with strong communication and organizational skills, capable of working effectively in a team environment.

Responsibilities

• Accurately input all required data elements for scheduling and registration, including patient demographic, financial information, guarantor information, and relevant notes associated with the encounter.
• Verify insurance eligibility and obtain necessary authorizations for services rendered.
• Calculate and collect the estimated patient portion based on benefits and contract reimbursement, as well as prior balances.
• Perform financial assessment for appropriate program assistance.
• Communicate the purpose of and obtain patient/legal guardian signatures on all necessary hospital documents.
• Represent the Patient Access department in a professional, courteous manner at all times.
• Assist the hospital in the event of an internal or external disaster.
• Support the flexible needs of the department to accommodate patient volume in all areas of the hospital, which may require assignment to another area of the department and shift changes.
• Support the department in achieving established performance targets.
• Complete required training as needed and as mandated.
• Maintain the team discipline of following all elements of established standard processes.
• Work with HPWT (High Performance Work Teams) to maintain an efficient, clean, and orderly workplace using 5S principles and practices once implemented in the work unit.
• Coordinate, communicate, and assist in monitoring workflow and work tasks necessary to manage fluctuating volumes.
• Provide feedback to the team to help identify educational needs and mediation needs by reporting IPOs (issues, problems, and opportunities).
• Demonstrate competence to perform assigned responsibilities in a manner that meets the population-specific and developmental needs of the members served by the department.
• Appropriately adapt assigned assessment, treatment, and/or service methods to accommodate the unique physical, psychosocial, cultural, age-specific, and other developmental needs of each member served.
• Take personal responsibility to ensure compliance with all policies, procedures, and standards as promulgated by state and federal agencies, the hospital, and other regulatory entities.
• Perform all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties.