Patient Access Rep I - Clinic

Job Summary and Responsibilities

Performs patient access, registration, admitting and financial counseling activities, which may include: patient pre‐ registration and registration, admittance, patient financial counseling, researching and evaluating federal, state and commercial insurance funding issues and screening patients for alternative government funding.

 

• Assembles all data and documents required for complete patient registration, including, pre‐admission, admission, pre‐registration and registration Functions; completes all insurance verifications and authorizations

 

• Enters all patient demographic information; uses other department applications for eligibility and authorization
• Assesses patient financial responsibility and collects co‐pays and deductibles at time of admission

 

• Screens admissions and informs referring physician offices, patients and their families about hospital policies and procedures regarding method of payment sources for services rendered

 

• Obtains and documents funding information from patients and Provides information on available funding resources; obtains funding for patients in the statuses of scheduling, pre‐registration, registration, or post registration as assigned

 

• Uses payer resources and website to explore and assess eligibility; Initiates third party referrals, administers financial assistance policy and procedures to determine patient eligibility for discounted prices or charity care

 

• Works in collaboration with all areas of the revenue cycle to identify and resolve issues and or barriers

 

• Enters a variety of fiscally related information into databases; Maintains fiscal records and files

 

• Responds to requests for information and inquiries related to patient access processes, policies, and/or other related information; researches and resolves customer problems

Job Requirements

Required

• High School Graduate General Studies, upon hire or
• High School GED General Studies, upon hire

Where You’ll Work

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.