Experience:
1-3 years of experience
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Employment Type:
Full time
Posted:
2/19/2018
Job Category:
Health Care Provider
Industry:
Health Care & Medicine
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Patient Access Representative
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Job Description

Qualifications

 Minimum Education
High School Diploma or GED


Minimum Work Experience
2 Year(s)

Specific Requirements and Preferences
At least 2 year of related experience. Experience performing billing, patient registration, scheduling, medical insurance verification, insurance screening. Experience in health care setting preferred.


Required Skills/Knowledge
Broad knowledge in administrative processes, customer service skills. Computer knowledge necessary. Microsoft Office experience preferred (Word & Excel). Complete Patient Access training curriculum and pass all competency assessments. The ability to type minimum of 35 words per minute required.


Functional Accountabilities

Patient Services
  1. Demonstrate accuracy of scheduling patients using the applicable scheduling system for the department. Verify applicable charge codes corresponds with diagnostic codes. Enter information into billing/registration system.
  2. Complete computer aided, on-line registration screen with parent/guardian via telephone or in person in professional & courteous manner.
  3. Collect accurate demographic and insurance information. Update systems as needed in accordance with department standards for registration accuracy. Complete bedside registration for ED patients.
  4. Reschedule appointment for patients who did not show or for the ancillary services cancellations by providers/technologist. Schedule follow up appointments at check out if applicable.
  5. Greet patients and parents courteously. Arrive patient in appropriate system based on department policy.
  6. Obtain required consents for department & ensure distribution of compliance related materials (i.e. HIPPA Privacy Notice, Patient Rights). Obtain copy of insurance card and photo ID to be stored in medical record (copy or scan activity required). Ensure applicable insurance company and CNMC HIM department receive copies of appropriate forms/documentation. Complete all documentation in accordance with department policy and procedure.
  7. Respond to patient portal work lists (i.e. appointment requests, fax queues, email requests, etc. May include messaging center work lists in the future).
Information Verification
  1. Verify insurance eligibility using applicable eligibility system. Ensure managed care carve outs (lab and radiology carve outs) are adhered to.
  2. Advise leadership of any authorization issues at the time of check-in. Identify surgeries/diagnostic testing without an authorizations. Contact provider’s office or scheduling coordinator to address issue timely without delaying patient care.
  3. Notify parents of the need for completed insurance referral form or pre-authorization prior to scheduled/unscheduled appointments.
  4. Discuss co-payment, deposits, payment in full, or past due balance collections with parents in a professional & courteous manner.
  5. Counsel parents or refer parent to Financial Information Center (FIC) for establishing payment schedule or method of payment.
  6. Verify insurance information is complete prior to procedure and collect and verify pre-authorization/referral information: goal is to obtain authorizations 5 days in advance of service.
  7. Utilize all systems where patient information may be stored (EPRS, SCI, Cerner, IDX, McKesson, etc.) to verify that systems are in synch.
Cash Collection
  1. Collect and record co-payments, deposits and payments in full and provide payer with receipt. Responsible for helping department meet 85% of the collection target for the department.
  2. Maintain departmental requirements regarding cash controls and collections.
Billing Preparation
  1. For ancillary services ensure all applicable orders/scripts/referrals are obtained prior to services being rendered.
  2. Appropriately clear all walk-in and ensure scheduled/unscheduled appointments are linked to scheduling system.
  3. Responsible to ensure daily quality review of all registration processed real-time.
Office Support
  1. Answer telephone and address caller needs appropriately. Avoid transferring calls for better service to families. Meet department standards relative to ACD policies if applicable. Manage voice mail messages within same business day.
  2. Distribute mail. May work returned mail as needed.
  3. All staff are responsible for information distributed via e-mail. Staff should check work email a minimum of 3 times daily and respond to inquiries within 24 hours (or next business day).
  4. Maintain office files and office supplies at PAR levels.
  5. Maintain clean reception area and work space.
  6. Other support as needed.
 

About Children's National Health System

Childrens National Medical Center is the only exclusive provider of pediatric care in the metropolitan Washington area and is the only freestanding childrens hospital between Philadelphia, Pittsburgh, Norfolk, and Atlanta. Serving the nations children for more than 130 years, Childrens National is a proven leader in the development and application of innovative new treatments for childhood illness and injury.

Childrens National is proudly ranked consistently among the best pediatric hospitals in America by US News & World Report.

Our Culture

Children's mission is to be preeminent in providing pediatric health care services that enhance the health and well-being of children regionally, nationally and internationally. Through leadership and innovation, Children's creates solutions to pediatric healthcare problems. Children's excels in Care, Advocacy, Research, and Education to meet the unique needs of children, adolescents and their families. Children's leadership realizes that our employees are the heart of our medical center and the soul of our mission. One of our greatest assets is the diversity of our workforce, which adds to the richness of our culture. Teamwork, dedication, and professionalism are essential values and characteristics that make our employees unique.

Childrens internationally recognized team of pediatric healthcare professionals care for more than 360,000 patients each year who come from throughout the region, nation and world. Our employees share a sense of pride and commitment to the patients and families we serve. We aspire to provide patients and their families with the highest quality of care and service in a family-centered environment. In essence, we are a team of "Great People Providing Great Care."

Nursing Students

As a nursing student, you might already be craving hands-on experience at a highly respected hospital. You may be thinking about where or with which population you want to work after graduation.

At Childrens, a world-class teaching hospital and internationally-recognized leader in pediatric health, we invite nursing students at all stages of learning to explore the real world of working in a hospital setting and experience first-hand the challenges and rewards of this career.

Internship Program

The internship program provides the novice nurse with the knowledge base and skill set needed to transition to competence in clinical nursing practice. While providing the needed skills to meet the organization goals and mission, the program provides nurses with the leadership skills to work collaboratively within a multidisciplinary team. The program bridges the gap between undergraduate education and real-life professional nursing practice, delivering state-of-the art pediatric care.

The program is offered to new graduate nurses from an accredited nursing program with a passion for children. All new graduates, with less than one-year acute care experience, are eligible to participate in the program after obtaining licensure.