- The representative will ensure patient insurance verification is accomplished and all requirements are met.
- A Patient Access Rep II prioritizes work for optimal reimbursement and to avoid financial risk to both patient and hospital. Ensures all insurance requirements are met prior to or on the date of service and informs patients of their financial liability and collects liability due.
- Identifies patients who require early financial counseling intervention.
- Ensures all uninsured patients are referred to a financial counselor as appropriate.
- A Patient Access Rep II will also assist patients, guarantors and families with insurance questions in a professional manner and is responsible for escalating any unaddressed insurance benefit concerns to the department Financial Counselor.
- Familiar with and adheres to all state and federal regulations such as EMTALA, CMS, HIPAA, and JCAHO guidelines.
- Obtains appropriate signature(s) and scans all appropriate documents (Admission/Registration Agreement, Notice of Privacy Practice, and Important Message from Medicare, etc.).
- Scans patient id and insurance cards. Makes every attempt to collect patient liability as appropriate and documents the response if not collected.
MINIMUM QUALIFICATIONS: - High school diploma or equivalent.
- Must have at least 2 years healthcare related or customer service experience.
- Knowledge of Medicare, Medicaid, and other commercial payers (HMO, PPO) preferred.
- Associate or bachelor degree may be accepted in lieu of experience. Certified Healthcare Access Associate (CHAA) preferred.
- Typing skills with a minimum of 35 wpm and good communication skills.
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patient access representative
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patient access representative - , GA, United States - Emory
Description
Patient Access Rep II
PHYSICAL REQUIREMENTS (Medium Max 25lbs): up to 25 lbs, 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 25 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks.
ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.
