Patient Access Representative - FMC
Company: Northern Arizona Healthcare
Location: Flagstaff
Posted on: March 16, 2023
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Job Description:
The Patient Access Representative is responsible for the
verification and collection of patient demographic and insurance
information by direct data entry to the electronic medical record
during the scheduling/pre-admit or admission process prior to
discharge. S/he conducts an interview with the patient or
authorized representative to secure information specific to
requested services; accurately documenting the discussion and other
registration/scheduling activities in the encounter.Patient
Registration and Scheduling* Demonstrates ability to navigate
web-based products or system applications required for registration
or scheduling.* Accurate identification of patient for direct data
entry of required clinical, demographic, and insurance information
to the electronic medical record during registration or for
appointment booking of assigned diagnostic procedures.* Provides
general explanation of scheduled procedures and patient
instructions that are necessary for conducting diagnostic medical
services.* Ensures system documentation specific to the patient
visit is entered and accurately reflects activities related to
patient or provider contact, order documentation, insurance
verification, financial education, and payment.* Provides
explanation of legal forms and secures signature of
patient/authorized party as required for services.* Demonstrates
basic understanding of compliance standards required within a
healthcare environment including EMTALA and HIPAA-Privacy Patient
Confidentiality regulations.Insurance Verification* Accurate
identification and selection of insurance carrier in the patient
medical record for specified dates of medical services.* Navigation
of web-based products or system applications to initiate and
document insurance eligibility, benefit details, and authorization
requirements.* Performs required notifications to ensure insurance
authorization for identified medical services, surgical procedures,
and inpatient/observation stays are secured and documented.*
Demonstrates basic knowledge of CPT and ICD10 diagnosis coding
documentation as required for medical services.Financial
Counseling* Demonstrates basic knowledge of regulatory or Third
Party Payer insurance requirements including Medicare,
AHCCCS/Medicaid, Workers Comp and other commercial payers.*
Educates the patient on insurance eligibility, coverage, and
availability of medical financial assistance program(s).* Collects
identified patient financial liabilities; performs secured payment
entry and deposit/cash reconciliation steps.Revenue Cycle Support*
Performs PBX Switchboard functions as required for answering and
routing of internal/external calls; paging codes and fire alarms;
handles department call volumes as assigned to appropriately
respond to requests from patients, providers, or other hospital
departments.* Acts as a resource for clinical departments for
registration/scheduled services related to data entry of patient
account fields, provider order requirements, and questions
regarding insurance coverage or financial
assistance.Compliance/Safety* Responsible for reporting any
safety-related incident in a timely fashion through the Midas/RDE
tool; attends all safety-related training programs; performs work
in a safe manner; monitors work environment for possible safety
issues and ensures others are also performing work in a safe
manner.* Stays current and complies with state and federal
regulations/statutes and company policies that impact the
employee's area of responsibility.* If required for the position,
ensures all certifications and/or licenses are up-to-date and valid
prior to expiration dates.* Completes all company mandatory modules
and required job-specific training in the specified time
frame.EducationHigh School Diploma or GED- RequiredMedical
Terminology Coursework- PreferredCertificates and
LicensureN/AExperience1 year in a customer service role-
RequiredProficiency in Microsoft Applications (Excel, Word,
PowerPoint)- Preferred2 years experience in a medical facility,
health insurance, or related medical field- PreferredHealthcare is
a rapidly changing environment and technology is integrated into
almost all aspects of patient care. Computers and other electronic
devices are utilized across the organization and throughout each
department. Colleagues must have an understanding of computers, and
competence in using computers and basic software programs.
Keywords: Northern Arizona Healthcare, Flagstaff , Patient Access Representative - FMC, Other , Flagstaff, Arizona
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