Patient Access Representative PRN

Job Purpose & Position Overview

The purpose of this position is to function as a Patient Access Representative (PAR) responsible for the clerical and administrative support including registration and eligibility services, which is the key point for interaction with patients to obtain and process demographic and insurance information. The Patient Access Representative in both Outpatient Clinic and the Emergency Department are responsible for the comprehensive and compassionate collection of all demographic, third party resources and clinical information necessary to effectively register a patient for services at Twelve Clans Unity Hospital.

This is a PRN (as needed) position; shifts are both during daytime hours or overnight. The qualified candidate will be responsible for covering a shift(s) or another type of specific situation during periods of short staffing or the need to complete a particular task.

Required to work a minimum of three shifts every 30 days.

Specific Job Duties/Responsibilities:

Perform a variety of support duties that facilitate the work of physicians, physician assistants, nurses, and other staff of the hospital which consist of the following:

Patient Registration:

Assists in accomplishing the work of the department by receiving and relaying incoming/outgoing telephone, intercom, and electronic messages.

Maintains appointments and clinic availability listing by use of the RPMS and Moonwalk scheduling package, reviews for completeness and accuracy of data and ensures signatures on all required documents.

Interviews patients to obtain information to determine eligibility and initiate a new health record and/or reactivate a retired record. Collect and verify third party eligibility coverage. Prepare charts and assist with monthly reports to Supervisor as requested. Maintains patient confidentiality at all times.

The Patient Access Representative must be proficient in accessing the correct medical record number on each patient to avoid creating duplicate medical record numbers. Accuracy of data entry is of utmost importance.

Works closely with Patient Benefits Coordinators in the identification of patients who may be eligible for third party resources.

Performs other duties as assigned

Qualifications/Skills:

High School Diploma or Equivalency plus 2 years’ experience in the healthcare profession

Working knowledge of the eligibility requirements of the Winnebago Comprehensive Healthcare System program

Knowledge of whether documented proof offered meets WCHS requirements

Demonstrated knowledge of medical terminology

Knowledge of interview techniques

Knowledge of the Privacy Act of 1974, and use of the confidential information and health records as an integral part of the interviewing office function and the privacy of individuals must be protected to the fullest extent possible

Knowledge of third party resources (Medicaid, Medicare, Veterans Benefits, SSI, etc.) in order to make referrals to the Patient Benefits Coordinator and be able to respond to patient inquiries

Skilled in practical use of electronic systems to provide general clerical office support

Knowledge of patient registration systems

Strong organizational and multi-tasking skills

Proven ability to handle confidential information with discretion, be adaptable to various competing demands, and demonstrate the highest level of customer/client service and response

Training Requirements:

As required to remain proficient in position and/or to meet requirements

Physical Requirements

Normal to light office work which includes the ability to lift up to 10 lbs.

Regularly required to walk, stand, and sit for extended periods of time and use hands to operate computer keyboard, phone, and various office equipment.

Cognitive Requirements:

Reading, writing, calculating.

Excellent social interaction skills.

Ability to reasoning, understand and analysis project data.

Ability to work effectively both independently and as a team.

Language Requirements:

Must possess the ability to read, write, and speak the English language fluently.

Must be able to continually and effectively employ professional verbal and written communications skills.

Certificates, Licenses & Registrations:

All applicants will comply with 45 CFR 1301, Subpart D, Section 1301.31, C and D, which require all prospective employees to sign a declaration prior to employment regarding all arrests and convictions of child abuse or violent felonies and to comply with PL 101-630 and PL 101-637 regarding criminal records check.

Please note the position description duties, responsibilities, and activities may change at any time with or without notice.