Access Services Representative I

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. This is an on-site position in McKinney, Tx with a shift schedule of Wed-Sat 7a-5p.

Essential Functions Of The Role

• 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 in each area.
• Identifies process improvement opportunities that promote team concepts and improves revenue cycle functions and the patient experience.
• Interacts regularly 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, establishes patient liability, and advises on deposit requirements.
• Negotiates payment arrangements with the patient as needed.
• May be responsible for cashiering duties following established policies and procedures, which could be the main responsibility in the department.
• 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 when necessary.

Key Success Factors

• Requires good listening and communication skills, and professional telephone etiquette.
• Maintain a professional demeanor in a stressful and emotional environment, including dealing with crime, behavioral health, suffering patients, and life or death situations.
• Must show high empathy and communicate well with patients and families during trauma.
• Demonstrate exceptional customer service skills.
• Demonstrates ability to manage multiple, changing priorities in an effective and 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