Mercy Health Careers

Description

POSITION SUMMARY
Under the leadership of the Unified revenue Organization (URO), the Patient Access Representative I greets patients/family members and obtains and/or verifies demographic, clinical, financial and insurance information in the process of registering patients for service delivery, including the entry of patient/guarantor information in the patient accounting system, collection of patient signatures on all appropriate forms and the imaging/copying of registration documents. Obtains and processes signed physician orders, conducts online insurance eligibility/benefit verification on designated cases, notifies patient/guarantor and collects patient liabilities and refers appropriate cases to financial counseling for follow-up and consultation. May provide escort and directional support to patients, family members and visitors. Incumbent will be expected to enhance the patient experience throughout all patient interactions, the majority of which will be face-to-face.
JOB SPECIFIC ESSENTIAL FUNCTIONS
Performs activities that relate to registration in a variety of settings/locations and for multiple patient types, i.e. inpatient admissions, outpatient observation and bedded outpatients, diagnostic outpatients, ambulatory surgery, emergency department registrations, series accounts, lab specimens, etc., dissemination of patient information. Responsible for validating/obtaining and entering demographic, clinical, financial and insurance information into the patient accounting system by interviewing the patient, family member and/or guarantor. Assures all financial clearance activities have been completed and patient financial responsibilities are met. Completes the financial clearance activities prior to service on non-complex cases and refers patient to financial counseling or financial clearance as necessary for complex cases. Performs insurance eligibility/benefit verification, utilizing a variety of mechanisms primarily EDI transactions and payer web access, and in some case by calling payers directly, and documenting information within the patient accounting system. Outcomes of the insurance eligibility/benefit verification activity will determine next steps, designation as a Self-Pay account, referral to financial counseling or referral to Financial Clearance for complex cases, etc.
POSITION QUALIFICATIONS

• High school diploma required. Associate's Degree or an equivalent combination of education and experience.
• Data entry skills (50 -60 key strokes per minute).
• Past work experience of at least one (1) year within a healthcare provider and/or payer environment performing patient access and/or customer services activities, are highly desired but not required.
• Certified Healthcare Access Associate (CHAA) credentials by the National Association Healthcare Access Management (NAHAM) and/or Certified Patient Account Technician (CPAT) credentials by the American Association of Healthcare Administrative Management (AAHAM) is also preferred.
• Working knowledge of medical terminology desirable. Basic computer skills are required.
  SHIFT/LOCATION
  • Hackley campus
  • 16 hours per week, Monday-Friday, 9:30pm-6am (primary shift) and 1pm-1am (secondary shift); every other weekend and holiday