Patient Access Representative
Company: Trinity Health
Location: Sioux City
Posted on: March 18, 2023
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Job Description:
**Employment Type:** Full time **Shift:** **Description:** The
Patient Access Representative greets patients/family members and
obtains and/or verifies demographic, clinical, financial and
insurance information in the process of registering patients for
service delivery, including the entry of patient/guarantor
information in the patient accounting system, collection of patient
signatures on all appropriate forms and the imaging/copying of
registration documents. Obtains and processes signed physician
orders, conducts online insurance eligibility/benefit verification
on designated cases, notifies patient/guarantor and collects
patient liabilities, and refers appropriate cases to financial
counseling for follow-up and consultation. May provide escort and
directional support to patients, family members and visitors **Your
best life. Our one purpose.** At MercyOne, we understand elevating
patient-centered care comes from the efforts of all colleagues. We
imagine and embrace bold new ideas to revolutionize health care.
**What we offer:** We care about your well-being, both physical and
mental, which is why our benefit package includes: + Wellness
programs + Education reimbursement + Personalized health insurance
plans including dental and vision + Paid time off + Long- and
short-term leave + Retirement planning + Life insurance coverage
**What you will do:** + When assigned to work the reception desk,
the position incumbent greets patients, family members and visitors
in an appropriate and courteous manner, determining their need for
assistance including directions, validation of parking tickets and
escort or transport. Utilizes judgment in the initial screening of
the patient. May adjust the sequence of registration/transportation
based upon departmental guidelines and/or personal judgment when
the health of the patient is in question. Determines the type of
service the patient is to receive by reviewing physician orders,
the alphabetical patient schedule and/or by questioning the
patient. Refers the patient to the appropriate scheduling and/or
ancillary department for follow-up and action if an outpatient test
must be scheduled. Will assign other staff/volunteers to patients
to ensure that registrations/transportation functions are performed
in a timely manner in order to avoid patient waiting periods. + May
provide wheelchair assistance for those who require it or obtain
immediate clinical support. Escorts or transports patients and
their belongings to their designated areas--ancillary departments,
outpatient areas and nursing units, as warranted. Assists in the
distribution of registration forms, ID bracelets, patient ID plates
and other items. + Performs activities that relate to registration
in a variety of settings/locations and for multiple patient types
(Inpatient Admissions, Outpatient Observation and Bedded
Outpatients, Diagnostic Outpatients, Ambulatory Surgery, Emergency
Department Registrations, Series accounts, Lab Specimens, etc.),
dissemination of patient information. Will be cross-trained to
perform registration/intake functions for the above noted patient
types. Responsible for validating/obtaining and entering
demographic, clinical, financial, and insurance information into
the patient accounting system by interviewing the patient, family
member and/or guarantor. Must obtain information in a variety of
situations and in a professional, accurate, efficient, and
courteous manner to ensure good patient relations and a smooth
billing process. + Informs patient/guarantor of their liabilities
and collects appropriate patient liabilities, including
co-payments, co-insurances, deductibles, deposits and outstanding
balances at the point of check-in. Provides financial education,
referring the patient to financial counseling, as required. In the
collection of funds, documents payments/actions in the patient
accounting system and provides the patient with a payment receipt.
+ Validates medical necessity (LMRP/LCD review) of Medicare and
Non-Medicare cases to ensure clinical and financial clearance.
Contacts scheduling and/or ancillary department staff for
clarification, if cases require clarification of diagnosis and/or
test(s)/procedure(s). + Obtains signed physician orders for all
tests and procedures from physicians/offices for testing and
procedures. Scans orders and other documentation (ID cards,
Insurance cards, etc.) into the patient accounting system. +
Prepares identification bracelets and patient ID labels/plates for
Inpatients and selected Outpatients. May assist the patient in
processing required insurance forms and obtains/scans
patient/guarantor signatures on required forms (consent to
treatment, assignment of benefits, release of information, waivers,
ABNs, advance directives, etc.). May audit & record the patient's
valuables, securing appropriate authorizations, if needed.
Disseminates patient information, including patient guidebooks and
other required documents. + May perform pre-registration functions
on select patients by obtaining and entering information gained
through patient contacts. During pre-registration calls, provides
information regarding directions, parking, transportation service,
overnight accommodations, etc. + May perform cross-functional
duties, including but not limited, to patient placement. While
performing reservation duties, the position is primarily
responsible for making bed assignments and transfers, providing
functional guidance as necessary and scheduling patients to be
admitted. + May perform cross-functional duties, including but not
limited, to patient placement. While performing reservation duties,
the position is primarily responsible for making bed assignments
and transfers, providing functional guidance as necessary and
scheduling patients to be admitted. + Provides information,
directions, transportation, and assistance to patients, family
members and visitors, ensuring timely, customer-centric service
delivery in an effective and efficient manner. Communicates with
various ancillary departments to ensure smooth patient flow and
high data integrity. + Prepares special reports as directed by the
Manager to document utilization of the Patient Access department's
services and patient flow (e.g., patient waiting time study, etc.).
+ May serve as relief support, if the work schedule or work-load
demands assistance to departmental personnel. May also be chosen to
serve as a resource to train new employees. Cross- training in
various functions is expected to assist in the smooth delivery of
departmental services. **What we are looking for:** + High school
diploma or an equivalent combination of education and experience.
Associate degree preferred. Data entry skills (50-60 keystrokes per
minutes). Past work experience of at least (6) six months within a
physician office, hospital or clinic environment, performing
registration activities or an insurance company, performing payer
activities are highly desired but not required Working required
Certified Healthcare Access Associate (CHAA) credentials by the
National Association of Healthcare Access Management (NAHAM) is
also preferred. + Excellent communication (verbal and written) and
organizational abilities. Excellent interpersonal skills are
necessary in dealing with peers, internal and external customers.
Accuracy, attentiveness to detail and time management skills are
required. + To successfully accomplish the essential job functions
of this position, the incumbent will be required to work
independently, read, write, and operate keyboard and telephone
effectively. + Must be comfortable operating in a collaborative,
shared leadership environment. + Must possess a personal presence
that is characterized by a sense of honesty, integrity, and caring
with the ability to inspire and motivate others to promote the
philosophy, mission, vision, goals, and values of Trinity Health.
**Why MercyOne Western Iowa?** MercyOne Western Iowa serves the
needs of individuals in a 33-county area including western Iowa,
eastern Nebraska and southeastern South Dakota. MercyOne Siouxland
Medical Center, a 238-bed regional facility, is home to the only
Level II trauma center in the area - one of only four trauma care
facilities in the state to receive verification from the American
College of Surgeons - and MercyOne Air Med, a regional helicopter
ambulance service. Along with owned and managed hospitals in
Primghar and Hawarden, Iowa, and a partnership with Dunes Surgical
Hospital in South Dakota, the region also operates a primary care
network, specialty care clinics and home health care, providing an
entire continuum of preventative, primary, acute and tertiary
health care services to provide personalized, compassionate care
for the communities we serve and beyond. **About MercyOne and
Trinity Health** We are MercyOne: a connected system of health care
facilities and services dedicated to helping you and your community
live your best life so you can get well-and stay well. With 420
care locations, our clinics, medical centers and affiliates are
never too far from home, allowing us to improve the lives of
individuals and communities across the state of Iowa and beyond.
MercyOne Western Iowa is a member of Trinity Health Trinity Health
is a family of 115,000 colleagues and nearly 26,000 physicians and
clinicians across 25 states. Because we serve diverse populations,
our colleagues are trained to recognize the cultural beliefs,
values, traditions, language preferences, and health practices of
the communities that we serve and to apply that knowledge to
produce positive health outcomes. We also recognize that each of us
has a different way of thinking and perceiving our world and that
these differences often lead to innovative solutions. Our
dedication to diversity includes a unified workforce (through
training and education, recruitment, retention, and development),
commitment and accountability, communication, community
partnerships, and supplier diversity. **Our Mission defines us:**
MercyOne serves with fidelity to the Gospel as a compassionate,
healing ministry of Jesus Christ to transform the health of our
communities. **Our timeless Values guide us:** + Reverence +
Integrity + Commitment to the Poor + Compassion + Excellence +
Justice + Stewardship **MercyOne Cultural Beliefs direct us:** +
**Be ONE:** I benefit from and strengthen MercyOne. + **Personalize
Care:** Your experience. My responsibility. + **Own It!:** I own my
actions to deliver our key results. + **Improve Daily:** I make
improvements every day for those we serve including each other. +
**Innovate:** I imagine and embrace bold new ideas to revolutionize
health. MercyOne Siouxland Medical Center and all its affiliates
are proud to be equal opportunity employers. We do not discriminate
on the basis of race, gender, religion, physical disability or any
other classification protected under local, state or federal law.
**Our Commitment to Diversity and Inclusion** Trinity Health is a
family of 115,000 colleagues and nearly 26,000 physicians and
clinicians across 25 states. Because we serve diverse populations,
our colleagues are trained to recognize the cultural beliefs,
values, traditions, language preferences, and health practices of
the communities that we serve and to apply that knowledge to
produce positive health outcomes. We also recognize that each of us
has a different way of thinking and perceiving our world and that
these differences often lead to innovative solutions. Our
dedication to diversity includes a unified workforce (through
training and education, recruitment, retention, and development),
commitment and accountability, communication, community
partnerships, and supplier diversity. Our Commitment to Diversity
and Inclusion Trinity Health is a family of 115,000 colleagues and
nearly 26,000 physicians and clinicians across 25 states. Because
we serve diverse populations, our colleagues are trained to
recognize the cultural beliefs, values, traditions, language
preferences, and health practices of the communities that we serve
and to apply that knowledge to produce positive health outcomes. We
also recognize that each of us has a different way of thinking and
perceiving our world and that these differences often lead to
innovative solutions. Our dedication to diversity includes a
unified workforce (through training and education, recruitment,
retention, and development), commitment and accountability,
communication, community partnerships, and supplier diversity. EOE
including disability/veteran
Keywords: Trinity Health, Sioux City , Patient Access Representative, Other , Sioux City, Iowa
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