Patient Access Representative

at  RWJBarnabas Health

JOB OVERVIEW:

The Patient Access Representatives is responsible for coordinating and facilitating registrations and admissions by obtaining pertinent demographic, financial and insurance information on all patients. The Patient Access Representatives ensures timely registration and promote patient satisfaction.

QUALIFICATIONS:

Required:

• High School diploma
• Customer service experience

Preferred:

• Patient Access experience
• Knowledge in all aspects of registration, Non-Federal and Federal billing regulations, and state programs such as Charity Care

SCHEDULING REQUIREMENTS:

• Day Shift, 7:00am 3:30pm each day
• Rotating weekend and holiday schedule
• Per Diem

• Provides excellent customer service to all patients, colleagues and other external and internal customers
• Interviews patients, family members and other responsible parties to gather pertinent demographic and financial information, for scheduling , pre-registration and/or registration based on assigned work
• Obtains and accurately documents all demographic information
• Obtains insurance information and initiates the verification process via third party clearinghouse
• Completes verification of coverage of all insurances and financial clearance activity has been completed
• Meets and exceeds department goals including accuracy, point of service collections and productivity
• Ensures all required forms are provided, reviewed, properly explained and signed by the patient or an approved person on behalf of the patient
• Informs patient of financial responsibility and collects appropriate dollar amount for services to be rendered; issue receipt and completes daily reconciliation of all cash collections
• Provide back-up support to hospital cashier and complete cashier functions, as assigned
• Completes Medicare Questionnaire on all patients that are eligible
• Responsible to review all work queues daily and take the required actions to update the information, correct errors and ensure that the account is accurate for billing
• Responsible to place patients in the appropriate bed and maintain the accuracy of the bed board system by tracking bed assignments through bed tracking system and to ensure timely and appropriate movement of patients within the hospital; as assigned
• Demonstrates proficiency in the entire pre-admission, registration, and financial clearance processes
• Demonstrates a high level of efficiency, accuracy and productivity
• Verifies accuracy of patient demographic information to avoid duplicating a medical record
• Follows department procedures when a duplicate medical record assignment is made
• Complies with organizational policies on Advance Directives and Patient Rights
• Provides patients with all regulatory documents, obtain required signatures, and witnesses all patients signatures
• Maintains department productivity by asking for additional duties when patient flow permits
• Makes customer needs a priority,
• Provides direct observation of the customer service being performed by other organizational members and reports issues to the supervisor/director
• Demonstrates initiative and motivation in role; proactively identifies and resolves problems in an appropriate manner and escalates issues to leadership when necessary
• Reflects commitment to building a supportive work environment and maintains a positive attitude
• Works closely and professionally with nursing and ancillary departments to foster a team environment
• Participate in training through the development of training tools, presentations at department in-services or staff meetings, or through the training of registration staff outside of the patient access department
• Other duties as assigned