Patient Access Representative - Admissions Department

We are searching for a Patient Access Representative with the Admissions Department at The Woodlands location — someone who works well in a fast-paced setting. In this position, you will ensure timely and accurate patient registration by serving as the liaison between patient/family, payers, providers, Healthcare Information Management (Medical Records), Patient Financial Services (PFS or Business Services) and other health care team members. While utilizing a unique medical record number, the Patient Access Representative will facilitate patient tracking and billing by obtaining/verifying accurate and complete demographic information, financially securing, ensuring financial authorizations, and collecting out-of-pocket responsibility from guarantors to maximize hospital reimbursement.

Think you’ve got what it takes?

Job Duties & Responsibilities:

• Obtains, verifies, and enters complete and accurate demographic information on all accounts to
  facilitate smooth processing through the revenue cycle.
• Thoroughly searches the patient accounting system for an existing medical record on each visit.
• Accurately enters complete demographic information into the system.
• Verified information should include correct spelling of patient name, date of birth, gender, address, phone number, guarantor data, etc.
• Financially secures all patient accounts to maximize hospital reimbursement in a customer service oriented fashion.
• Verifies insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into EPIC.
• Obtains insurance referrals, as required by individual insurance plans, documenting referral numbers in the appropriate fields for accurate billing.
• Registers unscheduled patients as soon as notified, obtaining insurance benefits and referrals/authorizations prior to providing services or prior to discharge.
• For patients who are admitted as inpatient from outpatient areas: verifies inpatient benefits, notifies bed control, and begins the pre-certification process.
• Compares copay information on insurance card to account notes for accuracy.
• Collects patient liability at time of service, documenting amount and method collected.

Skills & Requirements

• Required H.S. Diploma or GED
• 6 months experience as an admissions representative/counselor performing all aspects of the registration process preferred

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