Patient Access Representative

Job Description

Department:
Patient Registration
Schedule/Status:
Varies; Part Time
Standard Hours/Week:
29
General Description:
This position reports to the Patient Access Manager/Supervisor. The Patient Access Representative is responsible for promoting and demonstrating Parrish Healthcares Culture of Choice; timely and accurate processes associated with pre-registration, insurance verification, pre-certification, and insurance notification.
Key Responsibilities:

• Always follow AIDET (Acknowledge, Introduce, Duration, Explanation, Thank You) guidelines in all interactions with the patient.
• Always maintain professional image and demonstrate excellent customer service.
• Always use two patient identifiers (patient full name and date of birth) for accurate patient identification.
• Perform pre-registration and insurance verification within 3-5 days prior to date of service for both inpatient and outpatient services. For notification received with less than 3 days advanced notice perform within 24 hours of notification.
• Meet/exceed performance expectations; completes work within the required time frame. (10 registrations per hour).
• Follow scripted benefits verification and pre-certification format in Health Information System (i.e. Meditech) custom benefits screen and record benefits and pre-certification information in the approved standard format.
• Assign Insurance Plans (IPlans) accurately.
• Perform electronic insurance eligibility confirmation and document results.
• Complete Medicare Secondary Payor Questionnaire as applicable for retention in imaging system.
• Calculate patient cost share and be prepared to collect via phone or make