JOB SUMMARY

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.

QUALIFICATIONS

• EDUCATION - H.S. Diploma/GED Equivalent
• EXPERIENCE - Less than 1 Year of Experience

• 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. Knows 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 accountable 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 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.