Patient Access Representative

Willamette Medical Valley

Patient Access Representative

Full Time: PRN *ONLY AS NEEDED*
 

Position Summary:
Collects patient demographic, insurance, and financial information for outpatient services and inpatient admissions. Verifies benefits, obtains authorizations as needed, and collects co-pays/deductibles at the point of service to efficiently expedite the admitting process. Provides a positive first impression of the facility. Reports to the Director or Manager of Department. Reports to: Assistant Director of Patient Registration

Essential Functions:

• Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness and accuracy, assigning medical record number if appropriate. 

• Distributes and explains forms, documents, and educational handouts to patients or family members, ensures all necessary signatures are obtained for treatment. 

• Meets with patient or patient's caregiver before or after admission to exchange necessary information and documentation. 

• Provides explanation of process and addresses concerns and questions. 

• Communicates with admitting physician's office, nursing unit staff, and/or other appropriate personnel regarding admission to exchange necessary information and determine placement. 

• Verifies insurance benefits and obtains precertification/authorization as necessary. 

• Determines and accepts required payments, including co-pays and deductibles, or refers to financial counselors for follow up. 

• Researches the patients visit history to ensure compliance with third party payer requirements, completing appropriate documentation as applicable. 

• Collects co-pays and other funds from patients based upon established criteria. 

• Checks supplies and stocks supplies as needed. Serves as back-up for other functional areas.

• Performs other duties as assigned.

Minimum Qualifications:

• High school diploma or equivalent - Required (or equivalent Required or 3 years of directly related experience may be substituted for the required education).

• Billing or collection experience preferred. 

• Effective English communication (read, write, speak, and understand). Ability to complete the Skills Competency Checklist within 90 days of hire.

• Computer experience required. Required Skills Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.

•  Must be able to work in a stressful environment. Knowledge of medical terminology strongly preferred. 

• Ability to operate standard office equipment, including but not limited to, computer, printer, copier, fax, calculator. 

• Time management and organizational skills. 
   

Why Choose Us:
·    Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
·    Competitive Paid Time Off / Extended Illness