ESTES PARK HEALTH COMPANY DESCRIPTION:

Estes Park Health exists to make a positive difference to the health and well-being of all we serve. Located about 90 miles northwest of Denver, at 7,522 feet above sea level, Estes Park Health sits in the heart of the Rocky Mountains. As a gateway to Rocky Mountain National Park, the adventurous lifestyle Estes Park supplies open endless outdoor opportunities for our staff. We promote a healthy work-life balance to give our staff the time to enjoy the “playground” that is Colorado.
From pediatrics to geriatrics, Estes Park Health supplies a full spectrum of care for our friends, neighbors, and visitors in the entire Estes Park Valley and Rocky Mountain National Park. Today, over 18,000 patients—residents and visitors alike—see our health care teams for both outpatient and inpatient services.

SUMMARY:

A Patient Access Representative is responsible for registering patients in a timely and accurate manner. The Representative will gather demographic and insurance information to identify the patient and accuracy of the medical record, while also securing method of payment for services rendered. This includes validating insurance eligibility & benefits information, explaining benefits and authorization processes to our patients, and collecting payment at time of service when appropriate. Communicates with clinical departments involved in the care of the patient, to ensure a good hand off to the patient’s point of service. As the first point of contact at EPH, the Patient Access Representative will maintain a professional and pleasant demeanor that results in a positive experience for new and returning patients.

KNOWLEDGE, SKILLS & ABILITIES:

• General office practices and procedures.
• Routine software and business applications including, but not limited to, word processing, spreadsheets, presentation software, and databases.
• Communicate clearly and concisely, both verbally and in writing.
• Read and comprehend department and Company rules, regulations, policies, and standard operating procedures.
• Establish and maintain effective working relationships with other employees, representatives of other agencies and organizations, and members of the community.
• Regular, predictable attendance.
• Operation of standard office equipment including fax machines, copiers, and computers.
• English language, proper grammar, punctuation, and spelling in other oral and written communication
• Perform duties independently without close supervision.
• Provide professional customer service to clients and public.
• Maintain sensitive and confidential information.
• Follow written and verbal instructions.
• Organize material and present information clearly and concisely in verbal and written form.
• Current business letter writing techniques and methods.

POSITION REQUIREMENTS:

• High school diploma or equivalent.
• Customer Service skills for communication on the phone and in person.
• Have the ability to communicate effectively and diplomatically within a multi-functional team.
• Bi-lingual skills are a plus.

• Greet and interview patients and/or family to obtain accurate and complete registration information.
• Accurately and efficiently enter all necessary data into EPH Systems.
• Obtains photo identification and insurance cards from patients to ensure identity of patient.
• Communicates with the referring or receiving provider of service so patient can access appropriate care.
• Verifies eligibility of insurance, and benefit information and communicates this information with the patient.
• Collects copayment at time of service and payment options when significant patient liability is identified. Refers patient to Financial Counselor when need is identified for assistance.
• Compliant for requirements related to registering and gathering information for Medicare patients, which includes Medical Necessity, ABN (Advance Beneficiary Notice) and MSPQ (Medicare Secondary Payer Questionnaire).
• Assists with coverage across all registration areas within PFS to effectively handle all functions of the registration process. Must be able to work in two of four registration areas (Outpatient, Clinics, ED, and Urgent Care).
• Assist PFS Billing with special projects as needed.
• Maintain strict confidentiality in accordance with HIPAA guidelines and EPH’s policies and procedures, both at work and in off-hours.
• Courteously answers telephone calls and promptly returns voice mail messages, route calls and take accurate messages as appropriate.
• Participates in staff meetings, team building exercises and educational competencies to ensure Representative is up to date on latest requirements.
• All other duties as assigned.
• Perform in accordance with all local, state and federal laws and regulatory agency standards.
• Perform in accordance with EPH vision, mission and goals.