Access Services Representative 1
The Access Services Representative 1 obtains current and accurate demographics and insurance information in order to register patient, verify insurance benefits, and negotiate and collect patient financial responsibilities.
Essential Functions Of The Role:
- Conducts and documents patient interviews to obtain demographic and financial data for registration, insurance verification, precertification and billing.
- Registers patient at multiple locations and work multiple areas within the department.
- Understands the patient flow processes in each area.
- Identifies process improvement opportunities that promote team concepts with co-workers while improving revenue cycle functions and the patient experience.
- Interacts on an ongoing basis with other areas and departments in order to provide appropriate information related to such items as: patient delays, change of schedules Intra-departmentally and Interdepartmentally.
- Verifies patient eligibility for insurance coverage and appropriate benefit levels for anticipated services.
- Calculates and collects patient liability dues according to financial clearance policies related to existing and bad debt accounts.
- Determines patient liability and advises patient of deposit requirements per policy.
- Negotiates payment arrangements with patient where necessary per policy.
- May be responsible for performing cashiering responsibilities according to established policies and procedures; could potentially consume the bulk of the incumbents responsibilities within the department.
- Assists patients to nursing units by providing directions, personal escort and medical mobility assistance (ex; wheelchairs), when applicable.
- Adheres to compliance with regard to order validations, cash policy requirements, government payor requirements and patient safety requirements for appropriate patient identification.
- Appropriately escalates potential service issues to management when necessary.
Key Success Factors:
- 1 year of healthcare or customer service experience preferred.
- Requires good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.
- Ability to maintain a professional demeanor in a highly stressful and emotional environment, to include crime, behavioral health and suffering patients in addition to life or death situations.
- Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills.
- Demonstrates ability to manage multiple, changing priorities in an effective and organized manner.
- Excellent data entry, numeric, typing and computer navigational skills.
- Basic computer skills and Microsoft Office.
Benefits:
Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level
Qualifications:
- Education: H.S. Diploma/GED Equivalent
- Experience: Less than 1 Year of Experience
