Essential Duties and Responsibilities

These duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.

• Interview and accurately collect patient information and demographics for various hospital services; meet patient access scorecard standards by meeting accuracy rate as defined in annual goals and ensuring accuracy in medical record selection

• Use knowledge to verify, review, and coordinates benefits on behalf of patients; meet Patient Access Scorecard expectations for insurance verification rate

• Manage payments at point-of-service, conduct cash receipting, and post payments; point-of-service collection expectations are on the patient access scorecard

• Assist patients with financial clearance of accounts by communicating financial responsibility through estimates, setting up payment plans, and/or providing referrals to financial counselors

• Manage accounts in order to meet Patient Access Scorecard standards of productivity

• In addition to daily account authorization reviews, identify high risk admissions/registrations, obtain, and complete necessary authorizations and notifications of admissions from patients; meet patient access scorecard standards by reducing denial rates

• Assist with training of new staff as well as share departmental knowledge and provide assistive training with teammates

• Manage scanning for the patient medical record as required

• Provides courteous service to all stakeholders (patients, patient families, teammates, other department staff, etc.) by resolving stakeholder problems, responding to inquiries, and following up in order to develop and strengthen customer relationships and maintain effective interdepartmental communication; level-of-service and demonstrated patient commitment are connected to the patient access scorecard, the patient satisfaction scorecard, and patient access department policies

• Comply with governmental regulations in reference to healthcare, billing, the Health Insurance Portability and Accountability Act (HIPAA), and patient access department policies and procedures

• Demonstrate knowledge of ICD coding requirements and other billing rules

• Promote continuous process and quality improvement processes by sharing and providing ideas and solutions to teammates and supervisors and attending staff meetings; maintain educational requirement, and participate in new learning opportunities

• Demonstrate an awareness of appropriate confidentiality rules and regulations and act accordingly

• Actively participate in service recovery and customer service activities to ensure a superior customer contact

• Attend required hospital-wide orientations, meetings, and in-services

• Demonstrate a commitment to flexible work scheduling when necessary to ensure patient care

Education and Experience

Minimum Required Education: High school diploma or equivalent

Preferred Education: Associate degree in Health Information Technology or another health care field

Experience: 3+ years in hospital, Emergency Room, or Medical Office Registration with extensive working knowledge of medical terminology

Certificates, Licenses, Registrations

Applicant will, preferably, obtain certification as a Medical Assistant, Nursing Assistant, Emergency Medical Technician, or Paramedic prior to applying. Applicant is required to become a certified Healthcare Access Associate (CHAA), Certified Professional Coder (CPC), or other HFMA, NAHAM or AAHAM recognized revenue cycle professional within 24 months of employment.