Patient Representative
: Job Details :

GENERAL SUMMARYProvides positive patient encounter as first impression of the hospital. Ensures currency of medical, demographic, insurance, and financial information through interviews and verification of insurance benefits. Uses ACMC systems/applications to capture and communicate data to Health Information systems, patient care departments, and Patient Financial Services for billing. Accurately identifies patients and obtains consent signatures required for clinical treatment. Enters appropriate diagnosis, procedure, and physician information for medical record. Communicates with insurance companies and physicians regarding coverage and authorization requirements. Uses on-line, web based, and telecommunication verification systems to ensure accuracy and to expedite payment. Collects co-pays and deductibles. Ensures compliance with local, state, federal, third party EMTALA, and JCAHO regulations. Performs all ADT functions necessary to facilitate effective utilization of beds.MINIMUM QUALIFICATION* Education, Knowledge, Skills and Abilities* High School Diploma required; college or business school education desired. Must have excellent verbal persuasion and communication skills. Medical terminology or the successful completion of course within one year of employment preferred. Basic PC software application knowledge and ability to use multiple data systems preferred. Extensive knowledge of billing and insurance preferred.* Required Length and Type of Experience* Two years customer service experience dealing with the public on the phone or in person required. Two years patient financial services background (registration, billing, medical office, customer service, follow-up, or collections) preferred. Must have experience dealing with the public in person as well as on the phone. Must possess ability to work effectively in complex environment of a healthcare system. Keyboarding skills essential (40 WPM). Excellent communication and organization skills required.* Required Licensure or Certification* N/A* Required Physical and Environmental Demands* Position is primarily seated at a desk using telephone, keyboard, and PC - must stand/walk/bend to retrieve documents from printer, file, and use copier. Position will require periodic or routine use of laptop computer on wheeled device for bedside registration (walk/stand for this application). May be required to escort patients to location of care using wheelchair transport. May be required to wear and communicate with radio system or pagers. Will service trauma patients and visualize blood, smells, etc. associated with contact.