PATIENT ACCESS REPRESENTATIVE - Silver City, United States - Gila Regional Medical Center

Description

General Description:

The Patient Access (PA) representative is responsible for greeting and registration of patients that enter the Gila Regional Medical Center (GRMC).The PA representative is responsible for gathering the correct demographic information, necessary billing information, and distributing the required regulatory information for all patients seeking treatment or testing in all departments.

S/he registers patients, verifies insurance, seeks authorizations when needed, and operates the central phone and alarm systems.

Also expected to perform a number of clerical duties to assist the other departments in the day to day operations of GRMC.Ability to perform said duties in a responsible and professional manner utilizing individual knowledge and skills as well as the knowledge of hospital and departmental policies and procedures.

All duties must be performed in compliance with approved standards of care and practice as defined by GRMC.Registers patients in a precise, accurate, timely and courteous manner, maintaining 95% data entry accuracy.

Updates patient demographicsVerifies eligibility of insurance and obtains prior authorizations when requiredProcesses paperwork, ensuring complete and accurate documentationCollects copayments and deductibles, and offers discounts for SP/GCHP according to hospital policyAnswers phones and transfers callsOperates the central alarm systemMaintains strict standards of confidentiality as required by HIPAA standardsProvides front-line customer services; meets and greets visitors and directs patients through hospital areasProcesses orders, such as transfers and discharges, from the floor as directedCommunicates with other departments, such as Radiology, regarding pending authorizations, rescheduling, and denialsParticipates in staff meeting and in-service programsParticipates in department on-call program as assignedOperates the switchboard and intercom to relay incoming, outgoing and interoffice calls and messages.

Furnishes information/ phone numbers to callers as requested or makes sufficient inquiries necessary to refer the caller to the appropriate hospital personnel.

Education/Experience:
Minimum High School Diploma or GED - 2 years college preferredCustomer service experience required, with insurance billing preferredFamiliar with medical terminologyBasic computer skillsFamiliar with and/or able to use Microsoft OutlookBilingual in Spanish preferred


NOTE:
Job description available upon request.
All required documents must be presented at time of hire.

EXTERNAL APPLICANT:

Employment is contingent upon successful completion of pre-employment drug and alcohol testing. GRMC is an Equal Opportunity Employer.