Patient Access Representative

Job Summary

Greets and registers all patients who present themselves for medical services. Obtains all necessary demographic and financial information to complete the registration process to ensure legal and accurate billing and medical record input. Obtains all appropriate authorizations and/or referrals. Collects Point of Service payments as appropriate and accurately record payments.

Minimum Qualifications

Minimum Education: High School diploma or Equivalent
Minimum Years of Experience: None
Substitutable Education & Experience: None
Required Certifications/Licensure: None
Required Training: Must attend departmental approved training sessions to maintain the position (Minimum of 8 Hrs required);
Experience with personal computers (PC’s), possess excellent oral and verbal communicative skills and demonstrates ability to work well with people and handle potentially stressful situations;

Essential Functions

• Demonstrates ability and willingness to adapt to special circumstances such as patient emergencies, disasters and/or staffing issues.
• Ability to think analytically in order to produce quality work; works efficiently and professionally.
• Demonstrates appropriate communication of information to all ages and responds to all customers/patients requests/needs, i.e., hard of hearing, etc.
• Ability to work independently or in conjunction with nursing or other personnel to serve the needs of the patient, their families, and/or their representatives.
• Must possess appropriate interviewing, communication and negotiation skills, including the ability to listen.
• Must work be able to work closely with department during disaster team drills and enactments.
• Obtains and enters demographic and financial information to ensure the accuracy of the patient’s Medical Record and the appropriate identification and signatures required by law.
• Enters information from the physician’s order into the appropriate patient’s EHR.
• Schedules appointments from the physician order entry when needed.
• Interview patients and/or their representatives to obtain demographic and financial information.
• Responsible for obtaining proper consent on adults as well as minors.
• Responsible for obtaining necessary signatures for registration.
• Responsible for obtaining copies/scanning of driver’s license and insurance cards.
• Assist patients to appropriate departments and/or nursing units.
• Communicates face-to-face and by way of phone with patients and patients’ representatives as needed.
• Obtain Workers Compensation information at the time registration and verify as needed

Duties & Responsibilities

• Responsible for having a complete understanding and working knowledge of the policy and procedures regarding collection of insurance data.
• Collects Point of Service payments as appropriate and accurately records payments, adhering to the precautions as set forth by the Supervisor.
• Collect Point of Service payments as appropriate and accurately record payments.
• Verifies balance of Cash Drawer in assigned location of Patient Access when drawer is opened and closed. Generates a trial balance when closing the Cash Drawer, and prepares money for deposit ensuring all checks and balances are in place. Money shall never be left unattended and money shall be secured at all times in the Cash Drawer proper or safe.
• Professional in appearance, communications, and knowledge.
• Accepts chain of command, supervision and constructive criticism.
• Contributes to teamwork and creates harmonious relations with others. Displays positive attitude toward job duties and assigned tasks.
• Discourages gossip and treats others as they wish to be treated. Speaks positively about LMC, the department, other employees, and guests.
• Receive incoming phone calls. Route calls appropriately or take detailed legible messages when necessary.
• Maintains professional communications with all departments within the Lexington Medical Center community as needed.
• Attends monthly department meetings. When unable to attend due to work flow, meeting minutes by way of e-mail are to be read, signed, and sent back to Supervisor as an acknowledgement of understanding. (applied to your minimal 8 Hrs. of Departmental Training)
• Performs all other appropriate activities as directed by Management Team as necessary to meet patient’s needs and to achieve the required departmental and organizational outcomes.
• Utilizes the Service Recovery Process to resolve complaints.
• Documents all situations that arise out of the ordinary.
• Possesses knowledge of how to secure translators for patients or other parties requiring assistance.
• Ensure Hazardous Waste or Hazardous Waste Pharmaceuticals are discarded, stored, and managed with other compatible waste streams in containers that are properly labeled and closed prior to being shipped offsite for proper disposal.  Initial RCRA training is received within 6 months of the hire date and continuing with annual RCRA training.
• Performs duties as assigned by authorized personnel or as required and meets assigned time frame.