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Job Description

Patient Access Rep

Description

Under general supervision, registers

patients to center. Obtains insurance,

medical and demographic data to register, pre-register, admit or pre-admit

patients to the center. Verifies

insurance coverage and benefit levels with various third party payors. Assists patients without medical insurance

coverage in completing medical assistance applications and/or making payment

arrangements and cash collections.

Develops liaison relationship between patient and hospital by answering

patients' questions regarding hospital policies and billing procedures and by

obtaining necessary information to efficiently admit and bill for hospital

services rendered. Assists patients in

completing necessary forms and obtains patient signature as needed. Collects referrals and authorizations;

attempts to secure telephone referral if necessary. Completes telephone registrations.

Responsibilities:

  • Greets or contacts patient;

collects and verifies all necessary demographic, insurance and related

data. Explains appropriate forms to

patient and ensures that necessary forms are completed correctly and that

patient signatures are obtained.

  • Collects referrals and

authorizations; attempts to obtain referral by telephone if patient arrives

without one. Verified insurance and obtains

necessary authorization. Consults with

lead Patient Registrar in assisting uninsured patients in making payment

arrangements and cash collections.

Consults Admitting Managers for permission to register indigent

patients.

  • Contacts insurance companies to

verify insurance coverage and benefit levels on all admissions. Responds to third party inquiries for various

account information not normally supplied in the billing process. Obtains necessary information and signatures

to verify insurance coverage and initiate a computer file on emergency and

direct admissions.

  • Reviews physician reservation

requests, diagnosis, availability of beds and other related factors to assign

hospital beds according to designated service for scheduled, unscheduled and

emergency patients. Prioritized which

patients are to be admitted or transferred according to hospital policies.

  • Arranges outpatient appointments

using knowledge of ancillary departments for all clinics and offices involved

with Central Scheduling. Maintains

appointment logbooks from participating ancillary departments.

Qualifications

  • High school diploma

  • Six to twelve months previous work experience in an insurance, medical records, billing or related area to develop knowledge of healthcare admissions, and account policies as well as third party payors and social assistance policies and procedures.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Job: Administrative/Clerical

Primary Location: Michigan-Petoskey-McLaren Northern Michigan

Organization NRT10-McLaren Northern MI-Hospital

Employee Status Regular

Shift Day Job

Job Type Standard

Schedule Full-time

Req ID: 21002714

Company Info