Patient Access Rep | Patient Access Nights

Overview

FTE: 1.0

Schedule:

Monday - Friday, 7:00 PM - 5:30 AM

The Registration Assistant performs essential duties including, but not limited to:

• Appointment scheduling and patient registration
• Insurance verification and pre-certification
• Telephone coverage and general patient inquiries
• Data entry and filing of protected health information (PHI)
• Coordinating patient referrals
• Completing patient estimates and point-of-service collections

All tasks are performed while maintaining strong patient relations and ensuring high levels of customer satisfaction.

• Gather complete and accurate patient demographic information (e.g., name, DOB, SS#, address) and obtain the patient’s written consent for treatment.
• Collect and verify financial, insurance, and Workman’s Compensation information; note the appropriate Subscriber and Guarantor and obtain copies of insurance and .
• Pre-Registration:
  Identify, verify, and complete insurance plans; obtain correct benefits information (e.g., co-pay, deductible, out-of-pocket, pre-certification requirements per individual plans/policies, Par vs. Non-Par, HMO, PPO, managed care products); maintain a three-day window to ensure all patients are registered, insurance verified, and pre-certified prior to scheduled appointments.
• Collect co-pays, deductibles, out-of-pocket expenses, cash/self-pay accounts, elective procedure fees, and non-covered services; safeguard patient valuables by logging and securing items in admitting safes.
• Perform cashier functions, including issuing receipts for payments and obtaining electronic authorizations for credit card transactions; turn in all receipts and payments/cash daily and log petty cash with a team member per shift.
• Process all patients via the Sign-In Sheet or acuity level assigned (order of arrival, appointment, or based on patient acuity in ED); screen for LMRPs and identify when an ABN is required, explaining the ABN/LMRP process to patients and obtaining signatures as needed.
• Complete Medicare Secondary Payer (MSP) questionnaires for every Medicare patient.
• Prepare and provide reports for Admission Census (bed board) at the end of each shift, ensuring readiness for the oncoming shift; coordinate with Nursing to ensure proper bed assignments.
• Read and interpret completed physician orders (written or electronic) for appropriate handling.

Education:

• High School Diploma or equivalent required.

Experience

• 0-1 year of Medical Customer Service or Registration experience required.

• 1 year of Medical Customer Service or Registration experience.
• Knowledge of medical terminology and medical insurance terminology, with an emphasis on referrals and pre-certification processes.