Patient Access Representative (JR232560)

<strong>To heal, to teach, to discover and to advance the health of the communities we serve.<br /></strong><br /> <p>To learn more about the &ldquo;Montefiore Difference&rdquo; &ndash; who we are at Montefiore and all that we have to offer our associates, please click <strong><a href="https://healthymebenefits.com/" target="_blank" title="Montefiore Difference" rel="noopener noreferrer">here</a></strong>.&nbsp;</p>

New Rochelle, New York

Montefiore New Rochelle

<h3 id="16" class="css-1uppmgb"><strong>Working at Montefiore New Rochelle</strong></h3> <div dir="ltr"> <div class="css-vr2o4s"> <div class="css-cx1qpg" tabindex="-1"> <div class="css-vj43n8" data-automation-id="richText"> <p>Montefiore New Rochelle is part of Montefiore Health System, a premier academic medical center and the University Hospital for the Albert Einstein College of Medicine.<br /><br />Our mission is to heal, to teach, to discover and to advance the health of the communities we serve. Our vision is to be a premier academic medical center that transforms health and enriches lives.<br /><br />Those who work here are driven by a passion to serve and a desire to provide excellent care to all.</p> </div> </div> </div> </div> <h4 class=""><span style="text-decoration: underline;"><a href="https://montefiore.wd12.myworkdayjobs.com/en-US/MMC/login" target="_blank" title="Candidate Home" rel="noopener noreferrer">Sign In</a></span>&nbsp;- Candidate Home<br /><span style="text-decoration: underline;"><a href="https://montefiore.wd12.myworkdayjobs.com/en-US/MMC/introduceYourself" target="_blank" title="Introduce Yourself " rel="noopener noreferrer">Introduce Yourself&nbsp;</a></span>-&nbsp;Please let us know about yourself so we can keep in touch about future job openings!<br /><br /><br /><strong>Check Out Our Employee&nbsp;<span style="text-decoration: underline;"><a href="https://healthymebenefits.com/" target="_blank" title="Benefits" rel="noopener noreferrer">Benefits</a></span></strong></h4> https://www.montefiore.org/

keywords: position summary,position details,pay rate,administration,patient care,insurance,management,compliance,education,experience,skills

Part time

Overview: Patient Access Representatives are the integral component of the Patient Access Department. Representatives interact with patients to secure reimbursement for services provided, and/or to be provided. Representatives are the financial face of the hospital that patients meet when patients may be experiencing agonizing distress. Representatives are the point persons of customer service in the delicate area of securing payment for possibly life-saving care. Representatives are responsible for performing a variety of clerical functions in a timely, thorough and accurate manner, which include but are not limited to: Registration, Bed Control, Insurance Verification and Follow-up, Payment Collection, Cashiering, and Legal Documentation. Representatives are responsible for coding and charging Outpatient Ancillary Accounts in accordance with American Hospital Association coding guidelines by identifying all documented conditions that coexist at the time of the encounter/visit. While remaining sensitive of applicable Montefiore Medical Center standards and Customer Service Guidelines in their interactions with patients, Representatives must also fulfill their duties to ensure the efficient operation of the Patient Access Department. The professional regard and respect towards patients that is expected of Representatives extends to their coworkers and in any matters in which the Representatives act in behalf of the hospital. Patient Access Representatives report to Patient Access Supervisors.
Responsibilities: <ul> <li>Greets patients in polite, prompt and helpful manner.</li> <li>Timely Registration in computer system of individuals receiving care as Inpatients, Outpatients, or through the Emergency Department using hospital identifiers (name, date of birth, address verification, picture I.D, insurance cards, etc.).</li> <li>Prepares and provides patient ID bands for admissions and other hospital services.</li> <li>Provides and explains to patients, family, and/or legal representatives, Patient's Rights, Notice of Privacy Practices, Advance Directives, Financial Agreement, Consent Forms, etc. Updates any missing information in Patient Registration.</li> <li>Representative must provide, explain and at times, educate patients with provided information to complete required forms.</li> <li>Determines and collects payments due directly from patients for deductibles, co-payments, out of pocket expenses, and discounted rates. Reviews and evaluates patient account history to assure the satisfaction of patient&rsquo;s financial obligation.</li> <li>Informs patients of financial liability, whether current or outstanding, so as to arrange for full or partial payment</li> <li>Admits, Transfers, and Discharges patients using the Allscripts computer system.</li> <li>Contacts each Unit to review Admissions, Transfers, and Discharges in each Unit.</li> <li>Reviews Daily Admission, OR, and Transfer lists.</li> <li>Coordinates with clinical staff to make bed assignments for patients admitted from the Emergency Department, direct Admits and internal and external transfers.</li> <li>Maintains accurate online Bed Board Census.</li> <li>Handles incoming calls and coordinates referrals to appropriate work unit.</li> <li>Notifies Supervisor and escalates any issue(s) that may arise, including, but not limited to, Elective procedures, admissions that cannot be fiscally cleared, uncooperative patients, delay in completing duties, and any other issues impeding productivity.</li> <li>Enters charges and diagnosis on Outpatient accounts.</li> <li>Promotes a culture of safety by completing mandatory trainings and adhering to National Patient Safety Goals, HIPAA, and Corporate Compliance policies.</li> <li>Through courtesy, respect and effective communication, presents a positive image to the community and fosters cooperative relationships and positive work environment with patients, co-workers, guests and other Departments.</li> <li>Functions as preceptor/mentor to new staff and/or students by modeling appropriate behavior, exhibiting a courteous, conscientious and businesslike manner</li> <li>Consistently communicates with patients by listening attentively and providing feedback to ensure that all needs and questions (e.g., explanation of the registration process, explanation of test preparation, and education related to diagnosis and treatment) are satisfied in a timely manner.</li> <li>Varied tasks assigned .</li> </ul>
Requirements: <ul> <li>less than 1 year 6 months experience</li> <li>High School Diploma or GED is a must with college course work preferred, and experience in collection and/or insurance verification preferred. Must be experienced in providing excellent customer service and problem escalation/resolution in high volume atmosphere. Candidates must have strong communications skills, both verbal and written, with excellent telephone and face to face accommodation. Must be able to work independently and get along with others. Must successfully pass pre-hire exams; Math, grammar/vocabulary &amp; customer service with a score of 80% or above.</li> </ul>