Patient Access Rep II

Ridgeview Medical Center
United States, Minnesota, Chaska
Nov 22, 2024
Purpose of Job This position is responsible for complete and accurate pre-registration and registration of various patient types, including, inpatient admissions, outpatient, emergency services, and same day surgeries at multiple locations. Job Functions Efficiently registers patients, in person or via phone, capturing and verifying all required information in order to identify the patient, contact the patient, and receive proper reimbursement for services on initial claim submission. Assigns the appropriate Guarantor for each patient. Ensures patients receive necessary disclosures, privacy information, and signs the Consent to Treat documentation. Verifies insurance eligibility and benefit information using real time eligibility; reviews the insurers response to each verification request and takes appropriate action based on the response to ensure the proper insurance plan and billing address are entered in the system. Completes the MSQ, as appropriate, for patients with Medicare Collects financial obligations from patients and provides financial counseling and/or estimates when appropriate. Reconciles and performs end of day cashier duties Works with internal staff and third party payers to obtain information necessary for the registration. Initiates treatment authorization requests and pursues referrals per payer guidelines. Works with clinical staff to determine likely ICD-10, DRG and/or CPT Codes. Ensures Inpatient Notification process to third party payers is completed within established time frames. Assists and refers internal and external customers to proper resources for questions. Provides professional and courteous customer service to internal and external customers. Adheres to strict confidentiality when handing patient information. Meets established quality and productivity standards/requirements. Performs other duties as assigned Minimum Education/Work Experience High school graduate or equivalent 1-2 years previous healthcare experience Familiar with medical terminology Strong customer service experience Knowledge/Skills/Abilities Ability to effectively handle high-stress fast paced environment Ability to meet and maintain the necessary background checks as aligned with position functions Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above Ability to multi-task and high attention to detail Ability to perform basic math functions and count money Ability to serve patients in a friendly and efficient manner Knowledge of basic computer functions and Microsoft Office applications Ability to work autonomously and as a team Ability to respond appropriately to unpredictable situations and diverse patient populations Capable of making independent decision with the use of strong critical thinking and problem solving skills Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions mentioned above Preferred Qualifications Post-secondary education in a related field Bilingual Cognitive and Mental Demands Time Awareness - Frequent Writing - Continuous Initiation of Work - Continuous Memory - Continuous Receptiveness to Change - Frequent Reasoning - Continuous Required Sequences in Work - Continuous Problem Solving - Continuous Attentiveness Duration - Continuous Social interactions - Frequent Mathematical Aptitude - Occasional Conflict Management - Occasional Reading - Continuous Detail Oriented - Frequent Hours for this position are 3 days a week at 4:30am - 1:00pm and 2 days a week at 4:30am - 11:30am. Early days can fluctuate each week. No weekends and No Holidays.