Patient Access Representative

Position: — Patient Access Representative
# Patient Access Representative

Requisition :
186521

Department:
530306 Caughlin Medical Group

Shift:
Day Category:
Clerical & Administrative Support### Paid Time Off### 401(k) Company Match### Flexible Work Environment Renown Health is northern Nevada's healthcare leader and Reno's only locally owned, not-for-profit health system. We are an entire network of hospitals, primary care offices, urgent care centers, lab services, medical specialties, and x-ray and imaging services - with more than 7,000 nurses, doctors and care providers dedicated to the health and well-being of our community.
** For Providers:
** Renown Health and the University of Nevada, Reno School of Medicine (UNR Med) are affiliate partners in Nevada's first integrated academic health system. The affiliation aims to improve the health of the community, region, and state through research, medical education, and expanded clinical care. Renown physicians participate as joint faculty at UNR Med for teaching, lectures, supervising clinical rotations, and other academic activities for the education of medical and physician assistant students, residents and fellows.

Schedule:

Full Time - Eligible for Benefits Position Purpose This position is responsible to perform all registration, scheduling, order entry and reception functions and may float to various admitting site 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 time frame, 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.

Nature and Scope The incumbent uses professionalism and diplomacy with interacting with patients of all ages, their families, physicians, physician office staff and other health care providers in the accurate collecting 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 which can develop negatively towards the company, time off requests, sick time, work schedules, interoffice problems, etc.
1. Adopts a philosophy consistent with the Renown Health Values and models them.
2. Ability to be diplomatic and effectively communicate during stressful situations.
3. Skills to anticipate customer needs, deal with the unexpected, establish priorities, investigate and adjust performance style when necessary. This includes the ability to deal…