Access Services Representative 2

Access Services Representative 2

The Access Services Representative 2 obtains current and accurate demographics and insurance information in order to register patient, verification of insurance benefits, negotiates and collects patient financial responsibilities. Actively cross-trains and works in all areas as assigned. Serves as a mentor and / or trainer for peers.

Essential Functions Of The Role :

• Conducts and documents patient interviews to obtain demographic and financial data for registration, insurance verification, precertification and billing.
• 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 due according to financial clearance policies related to existing and / or 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 incumbent's responsibilities within the department.
• Assists patients to nursing units by providing directions, personal escort, and / or medical mobility assistance (ex; wheelchairs), when applicable.
• Appropriately escalates potential service issues to management when necessary.
• Adheres to compliance with regard to order validation, cash policy requirements, government payor requirements and patient safety requirements for appropriate patient identification.
• Conducts formal, documented training and serves as a resource to others.
• Proactively accepts new responsibilities as identified by leadership.
• Performs revenue cycle duties at multiple areas / locations as assigned.

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