Patient Access Representative - Hospital - Our Lady of the Angels

Requirements

• Registration
• Effectively meets customer needs, builds productive customer relationships, and takes responsibility for customer satisfaction and loyalty.
• Obtains necessary information from patient, including demographic information, insurance, guarantor, and correctly inputs it into registration software.
• Uses critical thinking skills to evaluate each registration situation to ensure customized registration experience based on individual patient circumstances.
• Communicates the purpose of and obtains patient/legal guardian signatures on all necessary hospital documents such as Hospital consent forms, assignment of benefits, patient rights, etc.
• Extensively documents each encounter in account notes to ensure successful cross-function communication.
• Ensures orders are received and are consistent with tests/procedures.
• Monitors the waiting room, facilitates patient flow, and resolves issues regarding orders or missing/conflicting information, to ensure timely and accurate patient registration.
• Demonstrates knowledge of insurance plans, including understanding of varying payer rules and requirements related to insurance coverage and prior authorization
• Verifies eligibility (utilizing online eligibility software tools whenever possible) and obtains necessary authorizations for services rendered.
• Uses proven customer service techniques and scripting to collect the patient financial obligation, at or before the time of service.
• Negotiates with patient to ensure a deposit is collected, in accordance with corporate policy and procedure.
• Analyzes documentation/notes on current and previous accounts in order to explain balances to the patient.
• Demonstrates knowledge and ability to complete account acknowledgement forms when appropriate.