PATIENT ACCESS ASSOCIATE - PATIENT ACCESS - PT NIGHTS

Patient Access Associate

Job Summary : Responsible for facilitating patient access for services at Anderson Hospital by accurately and efficiently collecting demographic and insurance information and entering it into the hospital registration system, including coordination of any pre-determined patient financial responsibilities. As a front line employee, the Patient Access Associate is responsible for providing excellent customer service while also protecting the privacy of the patient's health information.

Primary Job Responsibilities :

• Responsible for greeting each patient as they present for services and obtaining identification and insurance information. This includes enrolling patients in our hospital medical identity theft program and confirming all existing patient information in the record and / or obtaining any other information applicable to correctly complete the patient registration.
• Responsible for following all of the procedures set forth for that outpatient service in the event there are special processes that have been created for the registrars to follow.
• Responsible for performing all appropriate eligibility verifications that are required at the time of registration so the record is appropriately setup for payment, this includes making any notes that would assist in the payment process.
• Responsible for reviewing all physician orders presented and ensuring that the correct physician is added to the record. This includes contacting the physician office if the order is not complete i.e. no diagnosis or an additional diagnosis is needed in order to pass medical necessity or to secure payment.
• Responsible for completing the Medicare Secondary Payer Questionnaire (MSP) with the patient to determine if Medicare is primary. This includes performing the Medical Necessity check prior to the service to determine if Medicare will pay. If necessary, also creating the appropriate Advanced Beneficiary Notice (ABN) if the service does not pass medical necessary so the patient can make a determination regarding the service and payment and then having the patient sign and date.
• Responsible for determining if any non-scheduled services have insurance that may require authorization prior to the patient receiving the service. If so, the registrar is responsible for making contact with the insurance company, receiving any financial responsibility and documenting into the record the appropriate information. This includes reviewing that any scheduled procedure has been reviewed for any authorization requirements.
• Responsible for determining if a patient has any financial obligations that should be collected at the time of registration and provide any immediate financial counseling that is required or direct the patient to the appropriate staff to further counsel the patient with their patient options if necessary.
• Responsible for all of the cashiering functions which includes collecting money from the patients as applicable, posting the receipts in the system, balancing the drawer and appropriately completing the final reconciliation documentation and depositing the receipts at the end of the shift.
• Responsible for explaining and reviewing all registration documentation with the patient or the responsible party prior to obtaining signatures and witnessing. This includes providing the patient with a copy of the patient forms and scanning the forms into the imaging system if not using E-Signature.
• Responsible for communicating with the receiving departments when the patient registration completed and the patient is ready for the service as applicable, this includes considering the patient's physical abilities and determining if a wheelchair or an escort for transport is needed.
• Responsible for understanding and knowing the Meditech downtime processes in the event of a major incident or maintenance downtime.
• Responsible for daily review and completion of any registration issues appearing on a worklist created by our registration quality software. Any issues need to be correct prior to the billing date.

Qualifications

Education Requirements and Other Requirements :

Education Level : High school diploma or equivalent.

Prior Customer Service Experience is required.

Experience Requirements : Typing skills of at least 50 wpm.

Medical Terminology course or background preferred.

Excellent communication and customer service skills needed.

Computer and organizational skills.