Patient Access Rep-Neurosurgery Clinic

Overview

This job greets patients and guests in a courteous manner whether via telephone contact or in person; initiates scheduling an appointment or completes the check-in/admission process; obtains and verifies accurate identification and demographical data for the patient’s permanent medical record to assist in accurate reimbursement while maintaining the confidentiality of all patient information. Responsible for point-of-service collections and face-to-face patient interactions related to completing the patient registration and admission process;

verifies insurance via electronic verification, telephone, or web application; improves patient satisfaction through professional representation and cross-training to support multiple functions across all patient and payer types.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.

This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company s discretion.

• Required – High school diploma or equivalent
• Preferred – Associate’s Degree

• Required – One year of related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking, hotel retail and/or customer service related experience

• Preferred - Certification in Healthcare Access Manager (CHAM)
• Certification in Healthcare Access Associate (CHAA)
• Certification as a Medical Assistant (or other medical specialty-based certification)

• Must have computer skills and dexterity required for data entry and retrieval of information.
• Effective verbal and written communication skills and the ability to present information clearly and professionally.
• Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
• Strong interpersonal skills.
• Must have clerical skills and exhibit technical knowledge of healthcare insurance benefits, various payor guidelines on referral and authorization processes, and current knowledge of Federal, State and Local billing regulations.
• Skills to effectively present information and respond to questions from patients and customers, with proficiency.
• Skills to solve practical problems and deal with high-stress situations while maintaining a high level of professionalism.
• Good organizational, time management, and conflict resolution skills.
• Excellent decision-making skills; strong analytical skills with attention to detail.
• Ability to work collaboratively with other departments.
• Ability to exercise sound judgment in handling/escalating difficult situations.

• Provide excellent customer service to all patients, guests, and family members.
• Create, activate, and complete the patient scheduling, clinic registration, or hospital admission process.
• Ensure all required forms are completed and other paperwork/documents are gathered and accurate.
• Efficiently and accurately gather and input patient/guarantor demographic and financial information; explain insurance benefits and collect co-pays, deductibles and self-pay portions due.
• Perform financial analysis of each case and inform patient of financial responsibility.
• Balance cash drawer daily, prepare deposit slips and follow closing cash drawer process at the end of each shift.
• Demonstrate respect and cooperation in all staff relationships, and a willingness to prevent or resolve interpersonal conflicts.
• Adapt behavior to the specific patient population, including respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
• Other related duties as required.

The above statements describe the general nature and level of work only.…