Status (FT/PT): PRN
Shift: Rotating shift
Req ID: 55786
Front line representative with skills in multiple areas such as computer use, multi-line phone use and knowledge of the insurance and billing process. Greets, instructs, and schedules patients and visitors. Provides administrative support to physician practice.
Other Entry Requirements:
Under the general supervision of the Manager, Patient Access Services and the Patient Access Services Coordinator(s).
Organizationally reports to the Director of Patient Financial Services. May receive input/instructions from on site clinical managers and Patient Financial Services Director.
Must be self-directed, motivated and able to work independently.
Working relations with all ancillary departments and co-workers.
Registers all patients in the age category(s) checked below:
** All ages (birth & above)
No clinical contact with patients.
Customer Service Responsibilities:
Greets and directs patients and/or families to testing and surgical areas in the facility.
Transports or arranges for transportation of patients via wheelchair, as needed.
Provides outstanding customer service to physicians and offices, MMC departments and patients.
Obtains/verifies all required patient information and enters the information into the registration system following the screen flow in an accurate manner. Completes all assigned registrations in an expedient manner subject to department requirements.
Reviews completed registration forms with patient before releasing to patient care areas.
Responsible for distribution and documentation of the Privacy Notice for HIPAA regulations.
Documents presence of Advance Medical Directives and provides information for all adult patients.
Provides Patient Rights information.
Explains authorization of treatment, release of medical records, assignment of insurance benefits, and HIV testing in the event of an accidental exposure and secures signature from patient.
Contacts family of minor children presenting for care to secure permission for treatment when guardian is unavailable.
Provides appropriate diagnosis and procedure codes, when appropriate, using 3-M Coding software or coding book.
Responsible for screening medical necessity and distribution of Advance Beneficiary Notice on all appropriate procedures and tests.
Educates and informs patients of insurance requirements as needed.
Inputs and updates all insurance information in appropriate screens.
Verifies eligibility of all insurances available on line.
Follow up on all verifications not retrievable in a timely manner and consult with the Insurance Verification Team on any problem cases.
Identifies primary and secondary insurance. Sequences Blue Cross/Blue Shield, Medicare, Medicaid, Workman’s Compensation, Commercial and Auto Insurance as appropriate.
Obtains claim numbers and verifies that claims are established for Workmen’s Compensation and Auto Insurance.
Refers patients to Assistance Coordinator to obtain financial assistance and/or refers patients to Patient Accounting for payment arrangements when appropriate.
Collects cash/credit card payments on accounts for deductibles, co-pay, patient balances, including monthly statements. Prepares and balances daily bank deposits.
Assists with working various reports, including but not limited to, PRT Past Expected Date, MSP, Verification Follow-up, Rejection, Failed Bill and Address Error and Huron Work lists.
Uses appropriate scheduling systems to schedule various appointments.
Registrars with scheduling assignments can expect their duties to be adjusted with the growing demands of our customers.
Additional Emergency Department duties:
Perform PRT turnovers.
Follows ED’s additional patient identification protocol
Follow “DOE” process for unidentified patient
Combine accounts when a DOE is identified
Register after hours patients for all services
Ability to work in a crisis environment
Prioritize patient registrations based on level of care required
Additional Urgent Care duties:
Upon completion of the nursing assistant short course, some Patient Access Representatives at the Urgent Care will perform some or all of the following: