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PATIENT ACCESS REPRESENTATIVE

Company: Family Hospital Systems
Location: Cedar Park
Posted on: January 26, 2023

Job Description:

We began with one facility and one vision and have grown into Family Hospital Systems (FHS). With the ever-changing climate of the health care industry, we will always be growing. As a company we still see the opportunity to bring new resources, treatments, and personalized care for our patients.

Family Hospital Systems is a fun work environment, and we are looking for dedicated team members to support our internal company growth and organizational goals. We are team oriented with great interdepartmental working relationships and are committed to providing excellent internal and external customer service. You will experience adequate patient to nurse ratio, a calm and supportive work environment.

COME JOIN OUR TEAM!

Summary: Responsible for patient registration, admissions, and associated tasks which include information collection and validation, and requisitioning of orders and services. Insurance-related tasks include verification, collection of co-payments, and collection of associated paperwork. Performs administrative functions, scheduling, answering phones, and coordinating general requests.

Qualifications:

Education: High School diploma or GED required, associate degree or higher preferred

Licenses/Certification: BLS certification required, CHAA or CHAM preferred

Experience: 1- year experience in an acute patient care setting preferred

Essential Functions:

A: Job Specific

  • Registers patients and performs all registration-related functions, including explaining and obtaining all necessary patient consents and authorizations in a complete and timely manner, collecting financial paperwork (e.g., patient responsibility statement, etc.), and co-payment as required
  • Communicates effectively with patient to assist in access to care by answering telephone and other incoming communications in a timely and customer-service oriented manner; replying to inquiries, patient needs for information, and other parties clearly and in a timely manner; and, if information is not readily available, follows up with inquiries to responsible party
  • Resolves all non-clinical questions within scope of knowledge while providing excellent customer service on the phone and/or in person

    • Performs on-going documentation audits for medical necessity, plan of care, and other related tasks or requirements by payors, including Medicare, using a variety of computer-based systems
    • Schedule appointments for outpatient clinics and procedures as needed
    • Obtain prior health insurance authorization for outpatient procedure and inpatient stay as needed.
    • Educate each patient with pre-exam and if necessary, post-exam requirements within scope
    • Organizes, generates and distributes patient reminders, results, and recall letters

      • Establishes files, maintains information, and scans medical records in a timely and organized manner
      • Ensure the accuracy of medical record documentation by performing a quantitative and qualitative audit.
      • Manages, directs and responds to incoming office correspondence as deemed appropriate, including mail, email, faxes, and telephone calls, and forward queries to the appropriate staff
      • Attends and provides feedback for departmental staff meetings
      • Role Models the Principals of Family Hospital System and Organizational Values.

        • Ensures compliance with all applicable HIPAA, EMTLA and Joint commission requirements, providing required associated literature to patients
        • Performs other duties as assigned on department and organizational level.

          Knowledge/Skills/Abilities:

          • Excellent oral and written communication and interpersonal skills.
          • Problem solving abilities
          • Professional and positive demeanor

            • Proficiency in Microsoft Office and data entry systems
            • Accuracy and attention to detail

              BENEFITS

              Our competitive benefits package includes the following
              • Medical
              • Vision
              • Dental
              • 401(k) savings plan
              • 401 (k) match
              • PTO
              • Short-Term disability
              • Cage Free Care Membership
              • Life Insurance

Keywords: Family Hospital Systems, Cedar Park , PATIENT ACCESS REPRESENTATIVE, Other , Cedar Park, Texas

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