Patient Access Representative - Children's Hospital

Your Everyday

• Provides Assistance to Patients:
  
  • Greets patients, guests and family members both on phone or in person.
  • Schedules patients for services with appropriate provider at appropriate locations and desired time when possible, ensuring accuracy and timeliness.
  • Analyzes current patient information to determine if an account already exists so as not to duplicate records
  • Creates an account for all patients who present for services, including walk-in, non-scheduled, and emergency services according to the registration policy.
  • Registers patients by entering accurate demographic, financial class, insurance information; makes revisions to systems immediately as errors are recognized.
  • Activates scheduled accounts that have been set-up for the patient according to the registration policy.
  • Initiates bed placement, reservation, transfer, and/or discharge based on requests from clinical providers, case management, etc.
  • Assists patients with understanding their financial obligations, setting up payment arrangements, completing financial assistance applications, coordinating care with the providers, securing grants/resources with external sources (Drug Therapy Reimbursement) and when necessary, makes appropriate referrals to Parish Medicaid, Medicaid, or Emergency Medicaid.
• Completes the patient registration and admissions process and ensures all required forms are completed and other paperwork / documents are gathered and accurate:
  
  • Requests and documents patient demographic, insurance, guarantor, MSP, and PCP/Referring Physician information and validates against current system
  • Ensures patient/guarantor sign all applicable documentation, such as consents and financial assistance loan application
  • Scans ID, insurance cards, orders, authorization information, etc. to patient’s account once the information is validated for accuracy
  • Performs insurance verification tasks, including: running automated eligibility response at point-of-service to ensure active coverage and completing notification of admission with insurance company within established timeframe
  • Contacts case management and/or provider to assist with appropriate department placement for clinical services
  • Analyzes physician’s order for proper bed placement functions per policy when necessary
• Performs financial analysis of each case and informs patient of financial responsibility:
  
  • Informs patient/guarantor of liability due, including prior balances and estimates for scheduled service
  • Attempts to collect payment
  • Refers to financial counseling as needed
  • Maximizes point-of-service collection, meeting established registration collection goals
• Provides excellent customer service to all patients, guests and family members:
  
  • Promotes a customer centered experience by performing all functions in a warm and courteous
  • manner to patients, family members, providers, and all visitors of the organization.
  • Answers incoming calls and transfers calls to appropriate areas of department/clinic/hospital.
  • Provides directions to applicable areas of interest, such as the department where service will be provided, financial counselor, cafeteria, waiting rooms, restrooms, and parking area.
  • Schedules and reschedules appointments for patients as needed, identifying open time slots and educating patient/guardian about available options for services

The Must-Haves

Minimum:

• 2 Years of Experience in Customer Service/ Healthcare.
• High School Diploma/ GED or Equivalent Or 2 Years of applicable experience in lieu of education