25 days old

Patient Access Representative

Beacon Health System
Elkhart, IN 46516
  • Job Code
Reports to the Supervisor or Manager. Follows established Beacon policies and procedures to admit and register patients for services in a professional and courteous manner. Completes the pre-registration, registration, Completes insurance verification and must be able to accurately decipher eligibility responses and relay that information back to the patient. Document processes which involve communicating with patients and insurance companies. Collects applicable co-payments, deductibles, and obtains insurance information from the patient. Verifies insurance benefits, posts applicable co-payments, deductibles, and performs daily cash balancing procedures. Obtains all required signatures on paperwork and performs clerical duties as necessary.MISSION, VALUES and SERVICE GOALS
  • MISSION: We deliver outstanding care, inspire health, and connect with heart.
  • VALUES: Trust. Respect. Integrity. Compassion.
  • SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.
Registration/Pre-Registration/Patient Check In
  • Effectively incorporates add on procedures in an efficient and timely manner.
  • Enters patient name, arrival time, appointment time, procedure and any pertinent information into the Pager system to ensure the location of the patient is visible to everyone in the department. This allows collection of daily statistical date for quality assurance directly related to patient waiting times.
  • Using PHS and the daily schedules, identifies both pre-registered and non pre-registered patients with appointments.
  • Verifies patient demographics in PHS, prints/reviews check in itinerary for alerts, reviews orders for completeness and checks in pre-registered patients accurately and quickly.
  • At the point of pre-registration identifies the next scheduled patient to call using the electronic call list. Accurately marks the patient in the call list indicating the pre-registration is complete or enters a time to call the patient back.
  • At the point of registration obtains identification, demographic and insurance information and ensures the correct patient type, medical service, procedure and accommodation codes are entered into the hospital registration system.
  • Verifies and updates all information as appropriate. Accurately identifies pre-registers patients for specific departments and completes pre-registration packets.
  • Requests copies of the insurance card(s) and driver's license or other government picture ID to confirm the insurance and identification of the patient.
  • Verifies the patient's insurance eligibility and obtains coverage information from the R1 insurance verification tool and uses the information to confirm the correct insurance plan was entered into STAR Navigator.
  • Accurately identifies co-pays, co-insurance, and/or patient deductibles in the R1 insurance tool which includes entering the correct procedure and reading the notes entered that may identify partial payments agreed upon between the patient and financial counselor.
  • Once payment is determined and entered into RevSpring, the registrar is responsible for generating a receipt of payment and entering payment information into the R1 tool.
  • Checks Medicare Medical Necessity software prior to ordering outpatient testing and produces an ABN when appropriate.
  • Completes the Medicare Secondary Payer Questionnaire to meet Medicare compliance guidelines.
  • Provides the Important Message from Medicare form for all inpatient admissions who are insured by Medicare or a Medicare Replacement policy.
  • Provides the Medicare Outpatient Observation Notice from Medicare for all observation admissions who are insured by Medicare or a Medicare Replacement policy.
  • Prints orders from Care Ready as needed.
  • Reviews physician orders for completeness to meet HIM guidelines and places orders for outpatient services in an accurate and timely manner.
  • Assists patients in obtaining an order when one was not sent or requesting a complete order when needed.
  • Documents that privacy notices are given to ensure HIPAA compliance.
  • Protects patient confidentiality when handling orders and check in documents.
  • Obtains signatures for the hospital consent to treat, privacy notices and all other necessary forms.
  • Scans signature pages, insurance cards, photo ID and order into the electronic patient folder for ease of access and protection from identity theft.
  • Uses double identifiers to accurately identify the patient before placing the hospital patient identification band on the patient.
Bed Control
  • Cheerfully handles all incoming phone calls and helps answers questions or directs the caller to the appropriate area.
  • Routinely checks the bed control inbox and completes patient type changes in a timely manner.
  • Converts pre-registered patient packets to the correct patient type at midnight on the day of procedure, ensures all of the documents are printed and finalizes the pre-registration packet for ease of check in when the patient arrives.
  • Using established guidelines makes bed transfers and maintains a listing of daily admissions.
  • Keeps a daily calendar of planned admissions and special accommodation requirements.
  • Updates attending physicians for the hospitalist program accurately and in a timely manner as requested.
Order Management
  • Prints reports from PHS for next day scheduled outpatient procedures and produces a copy of the order from Care Ready or Cerner.
  • Completes the order in Care Ready to preserve the integrity of the files and prevent wrong tests from being performed.
  • Proactively checks the PHS schedule to ensure we have received orders for all next day scheduled outpatient procedures and faxes/phones the physician practice a request for any next day orders not yet received.
  • Maintains orders alphabetically for easy retrieval at the point of patient check in.
  • Processes reports from PHS to identify cancellations, no shows and rescheduled exams to ensure that scheduling information is continually updated and cancelled pre-registered accounts are processed in a timely manner.
  • Faxes a request for new standing orders prior to the one year expiration date.
  • Fields all incoming calls routed from the front desk to help trouble shoot issues with orders and patients.
Team Leader
  • Effectively helps to implement department policies & procedures and changes as needed.
  • Acts as a positive role model during training, and contributes to the success of each trainee. Gives positive feedback and shows constructive ways to aid in the learning proce Education and Experience
    • The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of a high school diploma (or equivalent). A minimum of one year of previous clerical/computer experience is required. A medical terminology course must be successfully completed during the first year of employment. Additional college-level courses in the area of medical practices are desired. CHAA certification and/or CMA certification is highly preferred.
    Knowledge & Skills
    • Requires basic office and keyboarding skills (with the ability to type a minimum of 40 wpm) and the ability to use designated reference materials and office equipment (i.e., computer, printer, fax machine, calculator, etc.).
    • Requires effective telephone skills (for example, to accurately take and relay information about patient and physician orders).
    • Demonstrates proficient computer skills (i.e., data entry, word processing and spreadsheets). Requires the ability to use multiple databases (such as Star Navigator, Cerner, Rev Spring, Indiana Medicaid Portal, R1 Insurance Verification Tool, WebForm Imprint, PHS, PCA, pager system and Insurance Rolodex).
    • Requires a complete understanding of Point of Service Collections. Specifically must understand why it is necessary and must be able to effectively communicate this to the Beacon patient community as needed.
    • Requires basic knowledge of medical terminology, private insurance coverage (and managed care).
    • Demonstrates the interpersonal skills necessary to interact effectively with patients from various backgrounds in a professional, enthusiastic, courteous, friendly, caring and sincere manner. Also demonstrates the ability to maintain effective working relationships with other departments, physicians and their office staff.
    • Demonstrates the verbal communication skills needed to communicate in a clear and effective manner when conducting patient interviews, answering patients questions and communicating with other departments and physician offices.
    • Good listening skills are required. Sensitivity to individuals who do not speak English as their first language is expected.
    • Requires the ability to strictly follow Beacon's policy on confidentiality. Also requires the ability to be aware of the need to lower one's voice in certain situations.
    • Requires ability to utilize good judgment and maintain one's composure in stressful situations.
    • Requires basic math skills needed to make change when taking Point of Service payments.
    Working Conditions
    • Works in a patient care area with possible exposure to bio-hazards.
    • Requires a flexible work schedule (including evenings, nights, weekends and holidays) that meets the needs of the department.
    • Must be effective in a qual

Posted: 2022-11-11 Expires: 2022-12-10
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Patient Access Representative

Beacon Health System
Elkhart, IN 46516

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