JOB SUMMARYThe 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.Passionately 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.
- Knows 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.
- Establishes patient liability and advises patient of deposit requirements per policy.Negotiates payment arrangements with patient where necessary per policy.
- May be accountable 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.
BENEFITSOur 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