Patient Access Representative

Parrish Medical Center


Date: 2 weeks ago
City: Titusville, FL
Contract type: Full time
Department:

Patient Registration

Schedule/Status:

Varies; Full Time

  • 1 Part Time need available


Standard Hours/Week:

40

General Description:

This position reports to the Patient Access Manager/Supervisor. The Patient Access Representative is responsible for promoting and demonstrating Parrish Healthcare’s Culture of Choice; timely and accurate processes associated with pre-registration, insurance verification, pre-certification, and insurance notification.

Key Responsibilities:

  • Always follow AIDET (Acknowledge, Introduce, Duration, Explanation, Thank You) guidelines in all interactions with the patient.
  • Always maintain professional image and demonstrate excellent customer service.
  • Always use two patient identifiers (patient full name and date of birth) for accurate patient identification.
  • Perform pre-registration and insurance verification within 3-5 days prior to date of service for both inpatient and outpatient services. For notification received with less than 3 days’ advanced notice perform within 24 hours of notification.
  • Meet/exceed performance expectations; completes work within the required time frame. (10 registrations per hour).
  • Follow scripted benefits verification and pre-certification format in Health Information System (i.e. Meditech) custom benefits screen and record benefits and pre-certification information in the approved standard format.
  • Assign Insurance Plans (IPlan’s) accurately.
  • Perform electronic insurance eligibility confirmation and document results.
  • Complete Medicare Secondary Payor Questionnaire as applicable for retention in imaging system.
  • Calculate patient cost share and be prepared to collect via phone or make payment arrangement and document account with collection efforts accordingly.
  • Contact patient via phone (with as much advance notice as possible, preferably 72 hours prior to date of service) to confirm or obtain missing demographic information, quote/collect patient cost share, and instruct patient on where to present at time of appointment.
  • Receive and record payments from patient for services scheduled.
  • Utilize appropriate communication system to facilitate communication with Patient Access team and other hospital departments as necessary.
  • Ensure appropriate documentation is entered in standard format on the patient record. This should be performed in the applicable Health Information System (i.e. Meditech) and if necessary any other subsidiary systems if they are not automatically updated.
  • Contact physician to resolve issues regarding prior authorization or referrals.
  • Research Patient Visit History to ensure compliance with payor specific payment window rules.
  • Perform insurance verification and pre-certification follow up for prior day’s walk-in admissions/registrations and account status changes by assigned facility as per guidelines.
  • Communicates with hospital-based Case Manager as necessary to ensure prompt resolution of pre- existing, non-covered, and re-certification issues.
  • Complete ABN’s (Advanced Beneficiary Notice) on all Medicare patients.
  • Always serves to fulfill the mission; practices and adheres to the Code of Conduct/Standards of Behavior/Values.
  • Demonstrates knowledge and understanding of organizational policies, procedures and systems.
  • Participates in process improvement initiatives.
  • Performs other duties as assigned.
  • Knows fire, disaster and safety procedures and regulations as pertains to the work area.


Formal Education:

  • High School Diploma or GED required.


Work Experience:

1 year to < 2 years related experience required.

Required Licenses, Certifications, Registrations:

  • N/A


Full Time Benefits:

Eligible to participate in a number of PMC-sponsored benefits, including:

  • Benefits Start on Day 1
  • Health, Dental and Vision Insurance
  • 403(b) Retirement Program
  • Tuition Reimbursement/Educational Assistance
  • EAP, Flex Spending, Accident, Critical and Other Applicable Benefits
  • Annual Accrual of 152 Personal Leave Bank (PLB) Hours

How to apply

To apply for this job you need to authorize on our website. If you don't have an account yet, please register.

Post a resume

Similar jobs

Sterile Processing Technician

Parrish Medical Center, Titusville, FL
1 week ago
Department:Operating RoomSchedule/Status:6am-2:30pm; Full TimeStandard Hours/Week:40General Description:Under the direct supervision of the Sterile Processing Manager, responsible for decontamination, assembly and preparation, sterilization, and distribution of medical instruments and supplies to the operating room and minor equipment items throughout the hospital.Key Responsibilities:Works in the decontamination area to receive and wash all contaminated instruments and equipment items using proper washing techniques. Assembles surgical...

Private Swim Instructor

InstaSwim, Titusville, FL
$40 - $60 per hour
1 week ago
InstaSwim is looking to hire professional and experienced private swim instructors to teach swim lessons in our clients private homes & community pools all within your location & surrounding cities! We supply the clients, you set the schedule! With the ability to choose what clients to work with and to get paid within a 24 hour period after each lesson,...

Lead Cash Poster

Parrish Medical Center, Titusville, FL
2 weeks ago
General Description:Under the direct supervision of the Billing Supervisor, performs a variety of duties related to patient accounts, including but not limited to: applying manual and electronic payments, co-payments and deductions to patient accounts; distributing EOB’s to patient representatives; entering payments to the General Ledger; training new cash posters; completing various reconciliations and reports as needed; analyzing patient account discrepancies,...