Patient Access Rep
Company: Christus Health
Posted on: September 15, 2019
Patient Access / Pre-Access Representatives II facilitate a welcome
and easy access to the facility and are responsible for
establishing an encounter for any patient who meets the guidelines
for hospital service. Patient Access / Pre-Access Representative II
ensures that all data entry is accurate including scheduled
procedures. demographic and financial information, insurance
verification, authorization for services and collections of patient
portion. Patient Access / Pre-Access Representative II communicates
directly with patients and families, physicians, nurses, insurance
companies and third party payers. This position requires
professional appearance, behavior, good communication skills,
dependability, flexibility, and teamwork.
Scheduler will be responsible for verifying medical necessity when
scheduling patients for all procedures. Each Scheduler will have
ICD-10-CM diagnosis code and CPT procedure code assigned to each
This advanced level position is designed to promote the
demonstrated knowledge and competency of Patient Access Scheduler /
Pre-Access duties in multiple areas, including a demonstrated
ability to use good judgment in making independent decisions to
resolve customer issues in all routine operations.
Action Oriented -- Taking on new opportunities and tough challenges
with a sense of urgency, high energy and enthusiasm.
Customer Focus -- Building strong customer relationships and
delivering customer-centric solutions.
Communicates Effectively -- Developing and delivering multi-mode
communications that convey a clear understanding of the unique
needs of different audiences.
Decision Quality -- Making good and timely decisions that keep the
organization moving forward.
Collaborates -- Building partnerships and working collaboratively
with others to meet shared objectives.
Nimble Learning -- Actively learning through experimentation when
tackling new problems, using both successes and failures as
Demonstrates Self-Awareness -- Using a combination of feedback and
reflection to gain productive insight into personal strengths and
Goals -- Completes quarterly goals
Delivering the Mission -- Performs duties as defined in this job
description and demonstrates mastery of role
associate mentor/trainer (and/or team lead)
Serves in team lead role (if so assigned).
Runs and works Meditech exception reports.
Tracks data and performs data analysis as assigned by manager.
Trains other associates and communicates changes in
Participates in/assists with performance improvement initiatives
and demonstrates an understanding and compliance of all department
policies and procedures.
Mentors and trains other associates.
assigns icd-10-cm diagnosis codes and cpt procedure codes
When scheduling procedures associate will assign the proper codes
in the scheduler notes.
ordersmart faxed documents WILL BE DISPOSIITONED DAILY
Ensures orders received are consistent with tests/procedures.
Orders are indexed timely with the appropriate information attached
to the physician's order
4. REGISTRATION / SCHEDULING
Obtains and accurately inputs all required data elements for
scheduling and registration, including patient demographic,
financial information, guarantor information, and relevant notes
associated with the encounter.
- Data fields include but are not limited to address, employment,
insurance info, nearest relative, guarantor, insurance plan,
admitting diagnosis, and physician information.
Prioritizes and completes registrations / scheduling in a
consistent, courteous, professional, accurate and timely
Ensures each patient is assigned only one medical record
Selects appropriate patient type based on the department and
Communicates the purpose of and obtains patient/legal guardian
signatures on all necessary hospital documents. Knowledgeable of
all such documents.Hospital care consent
Notice of Visit
Health Information Exchange (HIE)
Important Message from Medicare (IMM)
Medicare Outpatient Observation Notice (MOON)
Financial Assistance Application
Notice of Privacy Practices
Documents in account notes.
Insurance Verification / Explanation of Benefits
Verifies eligibility and obtains necessary authorizations for
services rendered.Utilizes online tools to verify insurance
benefits, run medical necessity, determine estimate for services
and process upfront collections.
Answer Medicare Secondary Payor Questionnaire.
Demonstrates accuracy in selecting insurance plans
(I-plans).Knowledge and ability to review notes on all pre-admitted
accounts and discuss with customer in a courteous professional
Knowledge and ability to review and explain previous accounts
Demonstrates contribution and achievement of department collection
Effectively meets customer needs, builds productive customer
relationships, and takes responsibility for customer satisfaction
Greets patients in a courteous and professional manner.
Calls patients by name.
Asks patients if they may have special needs.
Represents the Patient Access / Pre-Access department in a
professional, courteous manner at
Reviews Accureg daily to ensure a 99% accuracy rate.
Requests additional education information when necessary.
Two years' experience in hospital registration or a comparable
Certified Healthcare Access Associate through National Association
of Healthcare Access Management (NAHAM) or Coding Certificate.
Keywords: Christus Health, Alexandria , Patient Access Rep, Other , Alexandria, Louisiana
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