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Positions Location: St. Johns, MI
General Purpose of Job:
The Patient Access Representative is responsible for creating a positive impression for each patient and family member. Accurately interviews and enters all Sparrow patients into the iSparrow (Epic) System. Assists with switchboard operations as well as directing patients and visitors to the appropriate department.
Essential Duties:
This job description is intended to cover the minimum essential duties assigned on a regular basis. Associates may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.
- Interview patients for the purpose of collecting complete and accurate confidential demographic and financial information to comply with regulatory agencies and billing requirements.
- Perform pre-registration, verification of insurance, and collecting copayments/deductibles.
- Patient Access Representatives are responsible for entering timely and accurate confidential patient information in compliance with hospital policies and Federal Regulations, such as HIPAA and EMTALA.
- Provide Excellent Customer Service to patients and families for individual needs, with empathy.
- Assign appropriate ICD-10 for registration and billing compliance purposes at the point of scheduling and registration.
- Works closely with the nursing supervisor and other nursing staff regarding admissions and/or bed placements and transfers. Pends transfers from ED to the nursing units.
- Assists Physicians and clinical caregivers in obtaining past medical records.
- Updates the daily call schedule and locates the on call staff.
- Obtain signatures and information as required by regulatory agencies while in compliance with federal regulations such as HIPAA, EMTALA and Identity Theft (Red Flag) reporting.
- Verify insurance eligibility and covered benefits by using all electronic systems available to them or by phone.
- Educate the patient as to their financial responsibility. Collect prepayment for hospital services that are not covered by the patient’s insurance, including co-pays, deductibles, or good faith deposits.
- Operate multiple computer applications to register patients, schedule appointments, and retrieve surgical, testing, insurance, and financial information.
- Serve as a liaison with other departments e.g. Surgery Scheduling, Central Scheduling, Patient Support Services, Pre-service Patient Financial Services, physician office staff, etc., in order to obtain required data or to escalate issues as necessary.
- Work exception accounts held internally or rejected by payers for errors related to registration.
- Cross-train to support various Patient Access areas with minimal supervision.
- Supports continuous improvements and lean initiatives implemented in Patient Access Department.
- Facilitates effective utilization of all applications used in patient access procedures by providing occasional system support and education to other Caregivers.
- Assist with onboarding/training new staff.
- Other duties as assigned
| General Requirements |
• Member of National Association of Healthcare Access Management (NAHAM) preferred |
| Work Experience |
• Minimum 1 year of experience in one or more of the following: insurance, admitting, billing, or collections in a healthcare setting • Experience working in a healthcare setting preferred • Previous clerical experience preferred |
| Education |
• High school diploma or G.E.D. |
| Specialized Knowledge and Skills |
• Demonstrates excellent interpersonal and communication skills. • Maintains strict adherence to patient confidentiality. • Must pass a data entry test successfully at 7 thousand keystrokes per hour. • Working Knowledge of EPIC, Passport, and Microsoft Outlook applications preferred • Working knowledge of ICD-10 coding, insurance verification, benefit interpretation, and point of service collections preferred • Working knowledge of medical terminology preferred |
Sparrow Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.
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