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Patient Access Representative (PT no Benefits) FWCH
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Patient Access Representative (PT no Benefits) FWCH

Job Snapshot

Other Pay Based on Experience
Employment Type Part-Time
Job Type Health Care
Education High School
Experience Not Specified
Manages Others Not Specified
Industry Healthcare - Health Services
Required Travel Not Specified
Job ID 354

Job Description

The Patient Access Representative in both Main Admitting and the Emergency Department are responsible for the comprehensive and compassionate collection of all demographic, financial and clinical information necessary to effectively register a patient for services at Mountain States Health Alliance (MSHA) facilities.  The Patient Access Representative completes the patient admission/registration process in the designated registration system, reviews for completeness and accuracy of data, obtains authorizations and signatures on all required documents and maintains patient confidentiality. The Patient Access Representative must be proficient in accessing the correct medical record number on each patient to avoid creating duplicate medical record numbers. This is monitored by weekly reports to management and tracking any occurrences of duplicate entries.  Accuracy of data entry in order to avoid creating duplicate Medical Records, including overlays, is of utmost importance.  The following guidelines will serve as the standard for accuracy for the twelve-month period preceding the employee's anniversary date.  Anyone that registers a patient must adhere to these standards:

Rating                            Number of Occurrences

Exceeds all/most standards                 0
Meets standards                               1-2
Meets some standards                      3-4
Does not meet standards                    5

Rating                            Number of Occurrences

Exceeds all/most standards                 0
Meets standards                                 1
Meets some standards                        2
Does not meet standards                    3

The Patient Access Representative is responsible for verifying insurance eligibility and ensuring that all requirements, (i.e., referrals, pre-certifications, letters of medical necessity, etc..) set forth by third party payers are met prior to the registration of the patients for scheduled procedures and that appropriate information is available to case managers for follow-up on all inpatient admissions. Insurance verification must be obtained in a timely manner with emphasis on accuracy.  

The Patient Access Representative is also responsible for calculating and documenting required deductibles, co-payments and deposits and is further required to collect the patient’s out of pocket expense  at the time of service according to Mountain States Health Alliance credit and collection policy. The Patient Access Representative will also be required to maintain daily deposits for the facility, answer billing questions for our walk-in patients, ability to accept and apply payments in the cash management system. They will also be required to enter discounts in the patient accounting system. All Patient Access Reps will be responsible to know facility specific process as there may be a difference at each location.

The Patient Access Representative in the Emergency Department is also responsible for monitoring of the Emergency Department Tracking Board (EDTB). The Patient Access Representative will also be responsible for handling on call duties as required.

It is also the responsibility of the Patient Access Representative to provide excellent customer service in all interactions with patients, families/visitors, physicians and their office staff, EMS, insurance carriers and other departments within the facility. Patient Access will have direct patient contact and interactions with the public.

The Patient Access Representative must be a people oriented team player with strong interpersonal skills.  It is vital the successful candidate shows the ability to multi-task, work well with the public and be able to handle the daily pressures of a high paced healthcare system.

MSHA expects that every team member will role model Patient-Centered Care behaviors and be guided by MSHA’s Values and the Principles of Patient-Centered Care.

It is vital that an individual in this position be capable of good communication skills. It is of the utmost importance that written communication is legible.

MSHA expects all team members to support the VOS initiative by demonstrating awareness of the VOS system and effectively applying it to his/her work.

Job duties of this position may require access to protected patient information (PHI). The team member will be accountable for appropriate use of the record and compliance with all confidentiality and security policy and procedures related to use, access, and disclosure of PHI.

This position reports directly to the Patient Access Supervisor or Manager. In his or her absence, the team will report directly to the Revenue Cycle Senior Manager.

Job Requirements

A high school diploma or equivalent required.
At least six months customer service experience required.
Proficiency in typing with accuracy and speed at a minimum of 45 words per minute.  
Must demonstrate basic math skills
Basic knowledge of Microsoft Office products and understanding of use of internet
Knowledge of medical terminology and health insurance preferred.
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Patient Access Representative (PT no Benefits) FWCH

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