Patient Access Representative - Emergency Dept. (Sun-Wed 9A-730P)

📁
Non-Clinical
📅
21003633 Requisition #

Grady Health System offers many career paths for your professional growth. Whether you have many years of experience or are in the early stages on your career, you can find a rewarding position at Grady!! We are looking to add a full-time, day shift (Sun-Wed 9A-730P) Patient Access Representive to our Emergency Registration team!!

 

JOB SUMMARY:

Patient Access Representative is responsible for the intake and patient registration process. Conducts accurate patient interviews, schedules appointment, enters correct patient demographics, verifies third party payers’ information, accurately posts charges when applicable, calculates the amounts due from the patient FPL’s at POS, and balances and deposits daily collections. Performing these duties accurately and efficiently is critical to optimizing the hospital revenue.  Performs multi-task clinic duties to ensure efficiency in daily operations. Performs all duties in accordance with all regulatory guidelines and the Grady Health System's vision, mission, philosophy, policies and procedures, while focusing on Excellence Customer Service.

 

JOB RESPONSIBILITIES:

  • Verifies third party payer information and obtains authorizations/pre-certifications.
  • Conducts accurate patient Interviews.
  • Accurately performs the Filing Order functions in accordance with the birthday/gender rule and other third party payer requirements and any applicable comments within the Epic System.
  • Verifies patient financial responsibility including deductibles, co-insurance, and co-payments by reviewing the patient FPL's (Federal Poverty Level) status for self pay via insurance cards, and on-line software.
  • Accurately schedules patient appointments.
  • Explains and obtains signatures for consents, other required documents and adheres to regulatory requirements and department-specific procedures. 
  • Appropriately identifies, adds and verifies insurance information on patient accounts.
  • Enters patient demographic information into the hospital's information system in line with department accuracy standards.
  • Ensures each patient has presented identification of Certificate of Identification and signs an Authorization of Treatment.
  • Calculates the amounts due from the patient and performs point-of-service payment collections.
  • Accurately identifies patients during the check-in/arrival process, promoting patient safety and preventing duplicate patient record creation in the hospital's information systems.
  • Performs other duties as assigned.

 

JOB QUALIFICATIONS:

  • High School Diploma/GED is required
  • A minimum of two (2) years of college preferred
  • One (1) or more years experience customer service experience required
  • Experience in patient access, billing, cash collections, insurance, appointment scheduling, or directly related experience preferred
  • Must be able to accurately types 30 - 35 WPM and possess knowledge of basic computer software, e.g., Word and Excel required
  • CPAR Certification is preferred
  • Bilingual in English and Spanish is preferred
  • Knowledge of Siemens INVISION®/OAS Gold® system or EPIC system is preferred

 

 

Equal Opportunity Employer-Minorities/Females/Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity.

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