Communication Skills, Data Entry, Demographics, Federal Compliance Regulations, Financial Analysis, Health Department, Hospital, Insurance, Maintain Compliance, Medical Billing, Nursing, Organizational Skills, Patient Care, Program Evaluation, Regulatory Compliance, Team Player, The Joint Commission (TJC), Third-Party Payer
- ONSITE
Summary:- Patient Access Representatives facilitate a welcome and easy access to the facility and are responsible for establishing an encounter for any patient who meets the guidelines for hospital service. Patient Access staff ensures that all data entry is accurate including demographic and financial information for each account. Patient Access has numerous procedural requirements including data elements, insurance verification, authorization for services, and collections for all patient portions including prior balances.
- Patient Access staff is responsible for the successful financial outcome of all patient services. Patient Access is responsible for ensuring the hospital maintains compliance with Federal regulations, JCAHO, and Department of Health and Hospital compliance standards. Patient Access communicates directly with patients and families, physicians, nurses, insurance companies and third party payers. This position requires professional appearance, and behavior, good communication skills and effective organizational skills. Patient Access representatives require dependability, flexibility, and teamwork.
Responsibilities:- Meets expectations of the applicable Client Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Accurately inputs all required data elements for scheduling and registration, including patient demographic, financial information, guarantor information, and relevant notes associated with the encounter.
- Verifies insurance eligibility and obtains necessary authorizations for services rendered. Calculates and collects the estimated patient portion based on benefits and contract reimbursement as well as prior balances. Performs financial assessment for appropriate program assistance.
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Paladin Consulting, Inc.