JOB SUMMARY

The Access Services Representative 2 obtains current and accurate demographics and insurance information in order to register patient, verification of insurance benefits, negotiates and collects patient financial responsibilities. Actively cross-trains and works in all areas as assigned. Serves as a mentor and / or trainer for peers.

ESSENTIAL FUNCTIONS OF THE ROLE

• Conducts an documents patient interviews to obtain demographic and financial data for registration, insurance verification, precertification and billing.
• Understands the patient flow processes in each area.
• Identifies process improvement opportunities that promote team concepts with co-workers while improving revenue cycle functions and the patient experience.
• Interacts on an ongoing basis with other areas and departments in order to provide appropriate information related to such items as: patient delays, change of schedules Intra-departmentally and Interdepartmentally.
• Verifies patient eligibility for insurance coverage and appropriate benefit levels for anticipated services. Calculates and collects patient liability due according to financial clearance policies related to existing and/or bad debt accounts.
• Determines patient liability and advises patient of deposit requirements per policy. Negotiates payment arrangements with patient where necessary per policy.
• May be responsible for performing cashiering responsibilities according to established policies and procedures; could potentially consume the bulk of the incumbent’s responsibilities within the department.
• Assists patients to nursing units by providing directions, personal escort, and/or medical mobility assistance (ex; wheelchairs), when applicable. Appropriately escalates potential service issues to management when necessary.
• Adheres to compliance with regard to order validation, cash policy requirements, government payor requirements and patient safety requirements for appropriate patient identification
• Conducts formal, documented training and serves as a resource to others.
• Proactively accepts new responsibilities as identified by leadership. Performs revenue cycle duties at multiple areas / locations as assigned.

KEY SUCCESS FACTORS

• 2 years of healthcare or customer service experience or education equivalency required.
• Proven to have good listening, interpersonal and communication skills, and professional, pleasant and respectful telephone etiquette.
• Ability to maintain a professional demeanor in a highly stressful and emotional environment, to include crime, behavioral health and suffering patients in addition to life or death situations.
• Must be able to exhibit a high level of empathy with the ability to effectively communicate with patients and family members during traumatic events, while demonstrating exceptional customer service skills.
• Demonstrates ability to manage multiple, changing priorities in an effective and organized manner.
• Excellent data entry, numeric, typing and computer navigational skills.
• Basic computer skills and Microsoft Office.

BENEFITS

Our competitive benefits package includes the following

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition Reimbursement
• PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level
 

QUALIFICATIONS

• EDUCATION - H.S. Diploma/GED Equivalent
• EXPERIENCE - 2 Years of Experience