Patient Access Representative I- CMH Team A

Position Summary:


Creates accurate and thorough registration for each patient visit. Responsible for obtaining demographic and financial information as well as obtaining signatures required for successful and compliant billing submission. Collects patient liability before or at the time of service as defined by the patient's insurance plan. Interact in a customer focused and compassionate manner to ensure patient's needs are met.

Qualifications:


ADDITIONAL REQUIREMENTS

• Use of usual and customary equipment used to perform essential functions of the position.

Essential Functions:

• Registration and Data IntegrityEngage with patient/legal representative to obtain and input accurate demographic and insurance data to ensure accuracyConsistently schedules, registers, and obtains signatures in accordance with compliance regulationsCollect accurate, complete and compliant data from patient and or guarantor Follow all policy and procedures related to optimal financial performanceUtilize tools such as real time eligibility responses, on-line resources, phone or fax to verify eligibility and ensure accuracyUnderstand and communicate patient benefit information and follow collection guidelinesUnderstand and execute downtime procedures to ensure data integrity
• Customer Service Demonstrate UnityPoint's FOCUS Values in all actions and interactions.Consistently use AIDET and no point policy in all interactions Greet all patients and visitors with quality customer service and professionalism to ensure an exceptional patient experience Answer telephone calls in a clear, calm, and professional manner; screen calls by urgency and route calls promptly, accurately and professionally to appropriate team member or department Anticipate the business needs to assist coworkers and adapt to staff coverage in any registration area or site
• Financial Services/ BillingUnderstand basic self-pay or underinsured patient policies to refer to the appropriate teams for resolution Ensure accuracy of data collection by resolving registration errors as assigned by work queues Understand requirements for authorization and medical necessity Use standardized tools to identify missed information and secure proper documentationEnsure financial integrity of the billing system with accurate reconciliation for point of service collections and cash drawer balancingUtilize estimate tools within EPIC to accurately present financial liabilityProfessionally process the collection of financial liability and facilitate payment arrangements
• Collaboration and Team SynergySupport and contribute to department goals by attending department meetings and participating in performance improvement activitiesAnticipate the need to assist coworkers and adapt to staff coverage at any registration areas/sites Assist new hires in training processesDemonstrate teamwork by working, acting, thinking and collaborating as a team while supporting team decisionsMaintain accountability for individual actions and encourage, support, teach, mentor and resolve conflict in a healthy manner Promote and celebrate team achievements