Access Services Rep 1

About the Role

The Access Services Representative 1 is responsible for obtaining accurate demographics and insurance information to register patients, verify insurance benefits, and collect patient financial responsibilities.

Key Responsibilities

• Conducts and documents patient interviews to obtain demographic and financial data for registration, insurance verification, precertification, and billing.
• Registers patients at multiple locations and works in different department areas, understanding patient flow processes and identifying process improvement opportunities to enhance revenue cycle functions and patient experience.
• Interacts with other areas and departments to provide information on patient delays and schedule changes.
• Verifies patient eligibility for insurance coverage and benefit levels for services.
• Calculates and collects patient dues according to financial policies, establishing patient liability and advising on deposit requirements.
• Negotiates payment arrangements with patients.
• May be responsible for cashiering duties following established policies and procedures.
• Assists patients to nursing units by providing directions, personal escort, and medical mobility assistance (e.g., wheelchairs), when applicable.
• Adheres to compliance with order validations, cash policy, government payor, and patient safety requirements for proper patient identification.
• Appropriately escalates potential service issues to management.

Key Success Factors

• Good listening and communication skills, and professional telephone etiquette.
• Maintain a professional demeanor in a stressful and emotional environment, including situations involving crime, behavioral health, suffering patients, and life or death scenarios.
• High empathy and ability to communicate well with patients and families during trauma.
• Demonstrate exceptional customer service skills.
• Ability to manage multiple, changing priorities effectively and in an organized manner.
• Excellent data entry, numeric, typing, and computer navigational skills.
• Basic computer skills and Microsoft Office.

Qualifications

• EDUCATION: H.S. Diploma/GED Equivalent
• EXPERIENCE: Less than 1 Year of Experience