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Patient Access Rep I - ED 130p-12a
Gallatin, TN
Job Description
Description
Performs receptionist, registration, and clerical duties associated with direct and scheduled patient admissions.
Reports to: Patient Access Supervisor
Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness and accuracy.
Distributes and explains forms, documents, and educational handouts to patients or family members.
Meets with patient or patient's caregiver before or after admission to exchange necessary information and documentation. Provides explanation of process and addresses concerns and questions.
Communicates with admitting physician's office, nursing unit staff, and/or other appropriate personnel regarding admission to exchange necessary information and determine placement.
Maintains current knowledge of all rules and regulations governing third party admissions/registrations and pre-certification requirements
Verifies insurance eligibility and creates estimates based on services rendered, including co-pays, deductibles and out-of-pocket amounts.
Verifies precertification/authorization on file matches test/procedure/services being performed.
Maintains an acceptable registration error rate & collections goal.
Qualifications
Minimum Education
High school diploma or equivalent - Required
High school diploma or equivalent - Required
Minimum Education
Two years college or medical office specialist education - Preferred
Two years college or medical office specialist education - Preferred
Required Skills
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Must be able to function appropriately in a multi-task setting. General understanding of medical terminology and medical insurance.
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Must be able to function appropriately in a multi-task setting. General understanding of medical terminology and medical insurance.
Required Skills
Certifications:
Basic Life Support (BLS) from American Heart Association training center - Required within 90 days of employment, if not current upon hire
Certifications:
Basic Life Support (BLS) from American Heart Association training center - Required within 90 days of employment, if not current upon hire
Minimum Work Experience
2 years experience in hospital patient access/registration or medical office with emphasis on medical insurance and collections/accounts receivable - Required
Appropriate level of other hospital clerical or relevant customer service experience given consideration in lieu of
2 years experience in hospital patient access/registration or medical office with emphasis on medical insurance and collections/accounts receivable - Required
Appropriate level of other hospital clerical or relevant customer service experience given consideration in lieu of
Job Administration/Clerical
Primary Location Tennessee-Gallatin
Schedule Full-time
Work Schedule 2nd shift, 7-10 hr/shift, rotate weekends
Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Education
High School or Equivalent
Required Experience
2+ years
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