Patient Access Representative
Description
REQUIREMENT:
- A Patient Access Representative will assist in the coordination, prioritization and completion of front-end patient registration activities ranging from pre-registration through discharge in the Patient Access Services Department.
- Accurately completes patient registrations based on departmental protocols and standards, policies and procedures, and compliance with regulatory agencies.
- A Patient Access Representative prioritizes work for optimal reimbursement and to avoid financial risk to both patient and hospital.
- Ensures all insurance requirements are met prior to or on the date of service and informs patients of their financial liability and collects liability due. .
- Maintains knowledge of multiple department system applications utilized by Patient Access Familiar with and adheres to all state and federal regulations such as EMTALA, CMS, HIPAA, and JCAHO guidelines Effectively communicates identified issues and concerns in a constructive and professional manner.
- Obtains required signature for release of information in a timely manner, adhering to policy and procedures.
- Completes registration by verification of information and insurance for established patient or entering information for new patient prior to discharge of patient.
- Obtains appropriate signature(s) and scans all appropriate documents (Admission/Registration Agreement, Notice of Privacy Practice, and Important Message from Medicare, etc.) Scans patient id and insurance cards. Minimum Qualifications:
- High school diploma or equivalent; associate or bachelor degree preferred.
- Working knowledge of Health Plan coverage types.
- 3 years experience in Patient Access or Revenue Cycle required CHAA or CPAR certification is preferred. Cross-trained in all areas of Patient Access specific to the entity.
- Assist with but not limited to special projects, preceptor/training, application testing, and report maintenance Current working knowledge of registration, insurance, and billing requirements is required.
- Knowledge of key terms such as: ABN, ICD, medical terminology, precertification, etc. required.
- Excellent interpersonal, verbal, and written communication skills and ability to speak and write effectively at a level appropriate for the job.
- Ability to work well with individuals at all levels of the organization.
- Experience using general office equipment. Proven ability to work in a fast-paced, demanding team environment with daily deadlines.
Additional Details
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.
Average salary estimate
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At Emory Healthcare in Atlanta, we're on the lookout for a dedicated Patient Access Representative who thrives in a fast-paced environment and loves to assist patients with their healthcare journeys. In this crucial role, you'll be the friendly face that guides patients through the front-end registration process, ensuring everything runs smoothly from pre-registration to discharge. You'll accurately complete patient registrations while adhering to departmental protocols and compliance standards. Your expertise will help prioritize tasks to enhance reimbursement and reduce financial risks for both patients and the hospital. Your day will involve engaging with insurance requirements, explaining financial liabilities, and collecting necessary payments. You'll need to be well-versed in regulations like EMTALA, HIPAA, and JCAHO, and effectively communicate any concerns you encounter. You'll also ensure that all required signatures for the release of information are gathered promptly. If you enjoy balancing administrative tasks with direct patient interactions, and you have a solid understanding of health plan coverage and billing requirements, this position might be perfect for you. Joining our Emory family means embracing our commitment to diversity, equal opportunity, and inclusive healthcare practices. If you're ready to make a meaningful impact in the lives of patients, we invite you to explore this exciting opportunity with us.
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Mission: Improving the health of individuals and communities at home and throughout the world. Vision: Be the leading academic health science center in transforming health and healing through education, discovery, prevention and care. Values: ...
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