Access Representative, Admitting & Registration

Job Description

To create accounts from scheduling appointment and attempt to obtain demographic and insurance information as indicated in the Pre-Registration process. Completes all required documentation and prioritizes all insurance coverage's as primary, secondary, tertiary. Quality of registration data collected for the organization impacts revenue/reimbursement time.

Responsibilities

Epic Accounts -

• Create Epic accounts from scheduling appointment.
• Attempt to obtain demographic and insurance information as indicated in the Pre-Registration Minimum Data Set, Documentation Standards and Situation Response Guidelines to create, update and secure accounts.
• Screen and complete all required documentation and prioritizes all insurance coverage's as primary, secondary, tertiary.
• Completes required MSP questionnaires for all appropriate patients.

Customer Service -

• Answer questions regarding patient's appointment or transfer to the appropriate scheduling department, service area, or physician office.

Worklists -

• Properly codes Daily Worklist according to Worklist Coding Standards appropriate to the specific account situation.
• Effectively organize prioritization of Daily Worklist task.
• Ensure Worklist coding is consistent with documentation in LastWord.
• Secure all applicable accounts in timely manner as defined by Due Diligence Standard while maintaining department productivity and quality standards.

Productivity and Communication -

• Must maintain facility established productivity standards and Patient Accounts Quality Guidelines.
• Reports improvements, problems and changes as it relates to insurance verification to Department Management.
• Performs other duties as assigned in Access Unit Department

Qualifications

Education: High school diploma or GED required

Experience: 1-3 years of experience in registration, billing, customer service, or managed care organization preferred

Required Skills and Knowledge:

• Analytical skills; able to problem solve.
• Computer Literacy
• Excellent communication, problem solving skills, and ability to deal with customers who are often adversarial.
• Ability to interact independently to resolve customer service issues.