Patient Access ED/OP Representative- FT
Company: Northeast Georgia Health System, Inc
Location: Demorest
Posted on: May 29, 2023
Job Description:
Job Category:Administrative & Clerical
Work Shift/Schedule:VariesNortheast Georgia Health System is rooted
in a foundation of improving the health of our communities. About
the Role:Job SummaryUnder the supervision of The Patient Access
Supervisor, this position is responsible for ensuring the delivery
of outstanding customer service while greeting patient, registering
patient and verifying or obtaining complete and accurate patient
demographic information, identifying patient benefits eligibility,
verification of pre-certification obtained from insurance companies
and/or physicians offices, identifying insurance and/or patient
responsibility, collecting identified co-pay/deductible,
co-insurance, and/or providing financial counseling when
appropriate, and completing the entire registration process. - -
-Minimum Job Qualifications
- Licensure or other certifications:
- Educational Requirements: High School Diploma or GED
- Minimum Experience: Must be able to type 35-45 wpm. Proficient
in the use of office equipment (computer, fax, telephone, scanning
copier). Must be mobile and push patient in wheelchair, if
necessary between any location within hospital campus.
- Other:
Preferred Job Qualifications
- Preferred Licensure or other certifications: Bilingual
preferred
- Preferred Educational Requirements: Associate or Bachelors
Degree in Business, Financial/HealthCare related field.
- Preferred Experience: Medical terminology, data entry and
computer experience, admitting, business office, collection,
physician office experience and working with public preferred.
- Other:
Job Specific and Unique Knowledge, Skills and Abilities
- Ability to work independently, emotionally mature and able to
function effectively under stress while continuing to demonstrate
positive attitude with patients at all times
- Excellent problem solving and analytical skills
- Working knowledge of Protected Health Information
- Ability to be flexible and manage change. -Excellent written
and oral communication skills required.
- Must be proficient with use of all Patient Access Systems,
Software Application and Processes
- Must be able to demonstrate knowledge of billing requirements
and proper documentation of
- Must possess detailed understanding and knowledge of insurance
guidelines and protocols, the components of full verification, and
payor information / requirements
Essential Tasks and Responsibilities
- Responsible for capturing and documenting all pertinent patient
demographic, subscriber, and insurance information ie; patient
Policy and ID numbers, subscriber, guarantor, payor address, phone
number, and contact information. Documentation must include,
effective date, copay, deductible, out of pocket, co-insurance, and
stop loss amounts, percentage of coverage and any other pertinent
information concerning the specific visit into the EHR system.
-
- Obtains complete and accurate insurance information; completes
insurance verification by contacting patients, physician offices
and insurance/payer regarding the visit; verifies patient's
insurance eligibility and benefits with the information
obtained.
- Reviews work and assures accuracy in all aspects of the
position; particularly patient type, visit type, code
identification, insurance information, and demographic information
to minimize error rate and time delays in other areas.
- Responsible for assessing and collecting financial liabilities
prior to service when applicable; educates patients on billing
process for the facility; refers patients for financial counseling
if applicable; documents payment information in system as
appropriate.
- Scans appropriate data into Document Management System
(including, but not limited to; insurance cards, drivers license,
physician orders, consent forms, and any other registration related
documents pertinent to the patient's medical record ).
- Identify patient's history in all Patient Access Systems to
avoid duplication of medical records.
- Responsible for confirming and updating EHR system with
pre-certification information for all scheduled and non-scheduled
outpatient accounts as applicable.
- Performs medical necessity checks on all appointments in which
it is applicable; completes ABN form upon any failure to meet
medical necessity.
- Obtains and accurately completes MSP forms when
applicable.
- Demonstrates ability to complete and explain all registration
related consents and other documents as needed to the patient.
- Responsible for preparing patient packets for next day's
scheduled procedures (varies per area).
- Works according to standard operating procedure during EHR or
other system downtimes.
- Responsible for working with physician offices and other
departments to ensure patient satisfaction is met.
- Understands and utilizes all systems appropriately as related
to the registration process.
- Expected to meet all goals set by department management to
include, but not limited to; productivity, accuracy, collections,
and customer satisfaction.
- Performs any and all related job duties as assigned; may have
additional department specific duties assigned as deemed necessary
by management.
- Must maintain open and positive professional communication
-(oral and written) as well as great attitude at all times.
- PRN for Registration and ED Registration are responsible for
accurately performing any and all functions listed above.
Physical Demands
- Weight Lifted: Up to 20 lbs, Occasionally 0-30% of time
- Weight Carried: Up to 20 lbs, Occasionally 0-30% of time
- Vision: Heavy, Occasionally 0-30% of time
- Kneeling/Stooping/Bending: Occasionally 0-30%
- Standing/Walking: Frequently 31-65%
- Pushing/Pulling: Occasionally 0-30%
- Intensity of Work: Frequently 31-65%
- Job Requires: Reading, Writing, Reasoning, Talking,
KeyboardingWorking at NGHS means being part of something special: a
team invested in you as a person, an employee, and in helping you
reach your goals. -NGHS: Opportunities start here.Northeast Georgia
Health System is an Equal Opportunity Employer and will not
tolerate discrimination in employment on the basis of race, color,
age, sex, sexual orientation, gender identity or expression,
religion, disability, ethnicity, national origin, marital status,
protected veteran status, genetic information, or any other legally
protected classification or status.
Keywords: Northeast Georgia Health System, Inc, Athens , Patient Access ED/OP Representative- FT, Other , Demorest, Georgia
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