Patient Access Representative
Company: Renown Health
Posted on: January 17, 2020
This position is responsible to perform all registration,
scheduling, order entry and reception functions and may float
various admitting site within the health system.
This position expedites and provides healthcare access through the
accurate gathering of demographic, sponsorship or
guardian data, insurance, clinical, financial, and statistical
information from a variety of sources, i.e. patients, patients
families, physicians, physician office staff, county and/or
governmental agencies, CMS, FMS, etc.
This position ensures reimbursement for services rendered through
verification of insurance eligibility/benefits,
obtaining insurance authorization within required time frame,
identification and collection of patient financial obligation
and accurate charge order entry. Serves the patient and family in
such a manner as to make the admission process as
comfortable and pleasant as possible.
Nature and Scope:
The incumbent uses professionalism and diplomacy with interacting
with patients of all ages, their families, physicians,
physician office staff and other health care providers in the
accurate collecting of demographic, clinical, and financial
information in person or via telephone interviews.
Takes an active role in decreasing accounts receivables by
following established guidelines, regulations, policies and
procedures during the registration process in accurately:
- Obtaining and accurately entering demographic, clinical,
financial information into the computer system.
- Explaining and obtaining signatures on admission, clinical and
- Collecting accident information
- Identifying all insurance payer sources
- Identifying payer order sequence
- Verifying insurance eligibility
- Obtaining insurance notification
- Charge order entry processing
- Determining estimated cost for services being rendered
- Identifying and collecting patient financial obligation
amounts, i.e. co-payments, co-insurance, deductibles,
- Documenting all information collected timely and in accordance
with department requirements.
Explores the financial need of the patient and when appropriate
refers the customer to the appropriate federal, state, or
county assistance agencies.
The incumbent is responsible for scheduling, order entry and
reception functions and assists in completion of
This position has the authority to solve problems following
established company guidelines. Decisions that must be
referred to a supervisor are matters that involve problems which
can develop negatively towards the company, time off
requests, sick time, work schedules, interoffice problems, etc.
- Adopts a philosophy consistent with the Renown Health Values
and models them.
- Ability to be diplomatic and effectively communicate during
stressful situations. 3. Skills to anticipate customer needs, deal
with the unexpected, establish priorities, investigate and adjust
performance style when necessary. This includes the ability to deal
with the sight of various injuries, procedures and the stress
associated with such an environment. 4. Working knowledge of health
care insurance. The ability to accurately document subscriber
information, determine payer order sequence and obtain notification
as required by payer for services being rendered. 5. Must be able
to ensure all matters related to patient information are kept
secured, meeting confidentiality compliance standards set by The
Joint Commission and HIPAA. 6. Knowledge of governmental programs
billing requirements. 7. Ability to identify the patients financial
obligation, i.e. deductible, co-payment, co-insurance, etc. and
follow standard operating procedures regarding point of service
collections. 8. Skills to perform order entry. 9. Above average
computer application skills. 10. Ability to follow verbal and
written instructions. 11. Scheduling skills adaptable to a fast
pace environment with heavy physician/physician office staff
interaction. 12. Ability to be flexible and adapt to different
Admitting department locations. This includes the ability to
prioritize/multitask in a fast pace environment. This position does
not provide patient care.
The foregoing description is not intended and should not be
construed to be an exhaustive list of all responsibilities,
skills and efforts or work conditions associated with the job. It
is intended to be an accurate reflection of the general
nature and level of the job.
Minimum Qualifications: Requirements - Required and/or
Education: Must have working-level knowledge of the English
language, including reading, writing and speaking English. High
School Diploma or GED preferred
Experience: Requires one year of admitting, medical claims
processing, professional office experience and/or customer service
experience with financial interaction. Experience with Windows
Operating systems, SMS Invision, Internet and SMS IMS Document
Imaging is preferred.
Computer / Typing: Must possess, or be able to obtain within 90
days, the computers skills necessary to complete online learning
requirements for job-specific competencies, access online forms and
policies, complete online benefits enrollment, etc.
Keywords: Renown Health, Reno , Patient Access Representative, Other , Reno, Nevada
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