Knowledge of third-party payers, billing requirements, and reimbursement methods
Prior experience in working in patient registration or a related healthcare field
Advanced keyboard and computer skills
Ability to communicate effectively in a second language such as Navajo or Spanish
CHAA certified
Duties and Responsibilities :
Accurately obtain, input, scan, and distribute all necessary information related to a patient's registration for inpatient, emergency, and outpatient services, to create and maintain an accurate medical record for the purpose of treatment and billing.
Assign accurate MRNs, complete medical necessity and compliance checks for physicians.
Ensure all scheduled patients are pre-registered and pre-register other patients when possible. The department goal for pre-registrations as a percentage of scheduled patients is 95%.
Responsible for providing accurate good faith estimates to self-pay patients within established time limits.
Responsible for providing accurate estimates for insured patients of amounts likely due after insurance pays.
Work closely with physician offices to obtain prior authorizations prior to the patients scheduled appointment.
Verify the accuracy of information on all pre-registered patients upon arrival and make appropriate corrections to the system as necessary to maintain accurate records.
Ensure timely access to care by responding promptly to registration requests received by phone, fax or in person.
Verify eligibility at the time of pre-registration or registration according to policy. Department goal is to verify 100% of inpatients, emergency room and DSU patients and 100% of outpatients with certain insurances.
Follow managed care procedures, as applicable, to obtain authorizations for services to ensure timely payment and minimize denials.
Clearly explain all required forms to patients and obtain their signatures.
Explain and distribute patient education documents, such as Important Message from Medicare, Patient Rights and Notice of Privacy Practice.
Provide excellent customer service by appropriately greeting patients and responding to inquiries from patients, visitors, physicians, and vendors and directing patients, vendors, and visitors to their destinations.
Maintain an acceptable level of registration accuracy as defined by the department's Quality Assurance goals.
Go to patient rooms to complete patient registrations and obtain signatures on all required forms for direct admissions and/or when a form is missing.
Maintain all department logs, reports, and records
Benefits
Health insurance
Additional Information
Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider-we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community.
The Patient Access Representative inspires trust in and offers comfort to patients and families while facilitating access to medical care through the timely and accurate registration of all patients. Collaborates and communicates with physicians and care departments to facilitate patient flow and personalize the patient experience.
Required Behaviors:
As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.
Required Qualifications :
High school diploma or equivalent
Keyboard skills, accurately typing of thirty-five (35) words per minute
Ability to operate a computer and other office equipment (copy machines, scanners, fax machines, etc.)
Prior experience in data entry and the ability to enter information accurately into computer
Effective verbal and written communication skills and the ability to present the information clearly and professionally
Ability to set priorities in dealing with multiple demands and interruptions
Ability to obtain necessary personal and financial information from patients who are ill and/or under stress
Ability to work effectively with a team of varying personalities and cultures
Excellent customer service skills
Willingness to ask patients for co-payments and deposits, as appropriate
Flexibility in schedule to accommodate the needs of the patients and the department
Skills to effectively present information and respond to questions from patients and customers, with proficiency
Skills to solve practical problems and deal with high stress situations while maintaining a high quality of professionalism
Organizational, time management and resolution skills
Ability to work collaboratively with other departments
Sjrmc · San Juan Regional Medical Center