Patient Access Rep

Overview

Reports to the Supervisor or Manager. Follows established Beacon policies and procedures to admit and register patients for services in a professional and courteous manner. Completes the pre-registration, registration, completes insurance verification and must be able to accurately decipher eligibility responses and relay that information back to the patient. Documents processes which involve communicating with patients and insurance companies. Collects applicable co-payments, deductibles, and obtains insurance information from the patient.

Verifies insurance benefits, posts applicable co-payments, deductibles, and performs daily cash balancing procedures. Obtains all required signatures on paperwork and performs clerical duties as necessary.

• MISSION:
  We deliver outstanding care, inspire health, and connect with heart.
• VALUES:
  Trust. Respect. Integrity. Compassion.
• SERVICE GOALS:
  Personally connect. Keep everyone informed. Be on their team.

• Effectively incorporates add on procedures in an efficient and timely manner.
• Enters patient name, arrival time, appointment time, procedure and any pertinent information into the Pager system to ensure the location of the patient is visible to everyone in the department. This allows collection of daily statistical data for quality assurance directly related to patient waiting times.
• Using PHS and the daily schedules, identifies both pre-registered and non pre-registered patients with appointments.
• Verifies patient demographics in PHS, prints/reviews check in itinerary for alerts, reviews orders for completeness and checks in pre-registered patients accurately and quickly.
• At the point of pre-registration identifies the next scheduled patient to call using the electronic call list. Accurately marks the patient in the call list indicating the pre-registration is complete or enters a time to call the patient back.
• At the point of registration obtains identification, demographic and insurance information and ensures the correct patient type, medical service, procedure and accommodation codes are entered into the hospital registration system.
• Verifies and updates all information as appropriate. Accurately identifies pre-registers patients for specific departments and completes pre-registration packets.
• Requests copies of the insurance card(s) and driver's license or other government picture  confirm the insurance and identification of the patient.
• Verifies the patient's insurance eligibility and obtains coverage information from the R1 insurance verification tool and uses the information to confirm the correct insurance plan was entered into STAR Navigator.
• Accurately identifies co-pays, co-insurance, and/or patient deductibles in the R1 insurance tool which includes entering the correct procedure and reading the notes entered that may identify partial payments agreed upon between the patient and financial counselor.
• Once payment is determined and entered into Rev Spring, the registrar is responsible for generating a receipt of payment and entering payment information into the R1 tool.
• Checks Medicare Medical Necessity software prior to ordering outpatient testing and produces an ABN when appropriate.
• Completes the Medicare Secondary Payer Questionnaire to meet Medicare compliance guidelines.
• Provides the Important Message from Medicare form for all inpatient admissions who are insured by Medicare or a Medicare Replacement policy.
• Provides the Medicare Outpatient Observation Notice from Medicare for all observation admissions who are insured by Medicare or a Medicare Replacement policy.
• Prints orders from Care Ready as needed.
• Reviews physician orders for completeness to meet HIM guidelines and places orders for outpatient services in an accurate and timely manner.
• Assists patients in obtaining an order when one was not sent or requesting a complete order when needed.
• Documents that privacy notices are given to ensure HIPAA compliance.
• Protects patient confidentiality when handling orders and check in documents.
• Obtains signatures for the hospital consent to treat, privacy notices and all other necessary forms.
• Scans signature pages, insurance cards, photo  order into the electronic patient folder for ease of access and protection from identity theft.
• Uses double identifiers to accurately identify the patient before placing the hospital patient identification band on the patient.

• Cheerfully handles all incoming phone calls and helps answer questions or directs the caller to the appropriate area.
• Routinely checks the bed control inbox and completes patient type changes in a timely manner.
• Converts pre-registered patient packets to the correct patient type at midnight on the day of procedure, ensures all of the documents are printed and finalizes the pre-registration packet for ease of check in when the patient arrives.
• Using established guidelines makes bed transfers and maintains a listing of daily…