Sr Patient Access Rep- PMR OR Therapy Job

Children's Health - Patient Registration Careers

Job Number: 52741

Location: Dallas, TX

Date Posted: 12-9-2017

Description:

Position Summary

Duties may vary based on assigned department but this position performs the following tasks:

  • Schedules and/or (pre)registers patient visits or admissions with accurate patient demographic and financial information while providing timely and courteous customer service
  • Ensures maximum reimbursement on all services with timely and accurate verification of coverage, completion of all third party payer requirements (referrals and authorizations), requesting and processing upfront payments, making appropriate referrals to financial counseling, and assisting guarantors with questions related to billing
  • Assists families with questions on the complexities of the healthcare reimbursement process
  • Answers phone calls and greets visitors, patients and families, provide directions and answer questions
  • Provide training and guidance to Patient Access Representatives and assistance with non-routine or complex tasks

Essential Duties and Responsibilities

  • Verify third party coverage for all visits to ensure all services are reimbursed (through real time eligibility in Epic, using the internet or by phone to the payer).
  • Understand the complexities of and complete all third party payment requirements by obtaining timely referrals and accurate authorizations within the required timelines.
  • Request payments at the point of service when appropriate. Process credit cards and reconcile monies received.
  • Make appropriate referrals to financial counseling for uninsured and underinsured patients.
  • Assist guarantors with questions related to the complexities of the healthcare reimbursement process
  • (Ambulatory) PARS schedule clinic visits utilizing the template format designed for each service area.
  • Register or pre-register patient visits in ambulatory clinics, the emergency room, ancillary services, day surgery or admissions with accurate patient demographic and financial information
  • Complete all legal requirements related to registration, including the completion of consent forms, HIPAA Privacy Rules, Patient Rights and Responsibilities, etc.
  • Check in and check out patients
  • Enter charges and diagnosis codes
  • Provide leadership and direction to Patient Access Representatives
  • Provide training on an as needed basis – be a systems “super user”
  • Assist with non-routine or more complex tasks or questions
  • Answer phone calls within four rings, obtain appropriate information, route calls as needed, research issues
  • Ensures clinical information coincides with orders and scheduled appointments. Ensure a smooth workflow within the department.
  • Perform all other duties as assigned.

Qualifications

Education

  • High School diploma or equivalent required; associate’s degree or two years of college work preferred

Licenses & certifications

Experience

  • Demonstrated successful experience (minimum of six months) as a Patient Access Representative
  • Data processing/keyboarding skills required (30 wpm with accuracy)
  • Customer service experience, preferably in healthcare or a service industry

Specific knowledge, skills and abilities

  • The ability to communicate with others in clear, understandable and professional manner on the phone and in person.
  • The ability to interact with peers, executive and medical staff, patient families, vendors and other customers in a manner that represents Children’s positively.
  • The ability to train and provide guidance to staff in a non-supervisory lead role
  • The ability to work on multiple projects and to prioritize tasks in a changing environment
  • The ability to work independently or as part of a team
  • The ability to use and understand complex computer and telecommunication systems
  • The ability to independently identify and address issue and make decisions when appropriate

Physical demands

  • Duties require little or no exertion of physical effort.

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