Patient Access Representative - Emergency Department

Patient Access – Reno, NV Position Purpose

This position is responsible to perform all registration, scheduling, order entry and reception functions and may float to various admitting sites within the health system.

This position expedites and provides healthcare access through the accurate gathering of demographic, sponsorship or guardian data, insurance, clinical, financial, and statistical information from a variety of sources, i.e. patients, patient's families, physicians, physician office staff, county and/or governmental agencies, CMS, FMS, etc.

This position ensures reimbursement for services rendered through verification of insurance eligibility/benefits, obtaining insurance authorization within required timeframe, identification and collection of patient financial obligation and accurate charge order entry. Serves the patient and family in such a manner as to make the admission process as comfortable and pleasant as possible.

The incumbent uses professionalism and diplomacy when interacting with patients of all ages, their families, physicians, physician office staff and other health care providers in the accurate collection of demographic, clinical, and financial information in person or via telephone interviews.

Takes an active role in decreasing accounts receivables by following established guidelines, regulations, policies and procedures during the registration process in accurately:

• Obtaining and accurately entering demographic, clinical, financial information into the computer system.
• Explaining and obtaining signatures on admission, clinical and financial forms.
• Collecting accident information.
• Identifying all insurance payer sources.
• Identifying payer order sequence.
• Verifying insurance eligibility.
• Obtaining insurance notification.
• Charge order entry processing.
• Determining estimated cost for services being rendered.
• Identifying and collecting patient financial obligation amounts, i.e. co-payments, co‑insurance, deductibles, etc.
• Documenting all information collected timely and in accordance with department requirements.

Explores the financial need of the patient and when appropriate refers the customer to the appropriate federal, state or county assistance agencies.

The incumbent is responsible for scheduling, order entry and reception functions and assists in completion of departmental tasks.

This position has the authority to solve problems following established company guidelines. Decisions that must be referred to a supervisor are matters that involve problems that can develop negatively towards the company, time‑off requests, sick time, work schedules, interoffice problems, etc.

This position does not provide patient care.

The foregoing description is…