PATIENT ACCESS REP I

Experience 1 year 1-3 years experience in a Customer Service field and 2 years experience in a Clinical/Medical office setting

JOB DUTIES

Pre-register/Register patients for scheduled/unscheduled services, inpatient/outpatient procedures within all applicable hospital based areas.

Interview patient(s) and/or their representative at workstation or bedside to obtain demographic/insurance information or verify information already on file. All registrations performed utilizing available up to date technology (i.e. carts/workstation on wheels, tablets, etc)

Obtain copies of necessary identification and insurance cards.

Document appropriate information in the registration system based upon departmental documentation standards.

Accurate and timely deployment of legal and compliance consent forms and documents.

Initiates the Advance Directive process when applicable.

Ensures all patients are continually informed of their visit status when services are delayed.

Initiate, obtain and/or update insurance verification as appropriate for patient services.

Coordinate accurate patient data to determine financial obligation. Collection of insurance co-payments, deductible amounts, self-pay deposits and patient balances from the patient/guarantor. Request full or partial payment for services rendered according to collection policies.

Follows all guidelines set forth in the Cash Handling policy. Produce paperwork on each patient for distribution to appropriate departments.

Obtain ABN's and/or non-covered notice forms when applicable.

Learn and maintain up to date knowledge of registration system user operations, front line workflows and policies and procedures

Deliver superior customer service, representing UT Southwestern in a positive and professional manner to patients, colleagues and the community following AIDET guidelines.

Greets and direct/escort patients and/or visitors to appropriate location, providing information as needed or obtain transport assistance.

Build rapport and effective communication with internal and external team members to ensure best outcomes for the patient(s) in our care

Maintain neatness of waiting area and assigned workspace; keeps area stocked with pamphlets and other materials as appropriate. Ensure adequate inventory of items necessary for day-to-day functions of assigned registration location, such as office supplies and patient forms.

Release patient records as needed.

Knowledge of various regulatory agencies: The Joint Commission, Center for Medicare and Medicaid Services, State & Federal Laws, Hospital/Departmental Policies.

Meet established department productivity, collections and quality standards.

Meets/exceeds performance expectations and completes work within the required timeframe.

Protects the privacy and security of patient health information to ensure that confidentiality is maintained. Adheres to HIPAA guidelines when contacting patient.

Work with physician offices, insurance verification, financial counseling and/or patients when an insurance issue becomes apparent.

Coordinates with case management, physician's office and/or ancillary department regarding any additional information needed on their part to obtain pre-certification and insurance benefits

Practice and adhere to the "Code of Conduct" philosophy, Core Values and "Mission and Value Statement"

Search MPI completely to ensure that we are using the correct medical record number. Notify HIM for any duplicate unit numbers

Performs other related duties and projects as assigned. This job description should not be considered an exhaustive listing of all duties and responsibilities performed in this position. Our practice encourages all employees to develop personal and professional goals for themselves and will provide opportunities for continued growth and development.

Maintains a patient centered attitude at all times, demonstrating compassion and empathy for patients and their families.

ACD Line- monitor and appropriately direct calls and/or assist as necessary.

RightFax- monitor and complete registrations/direct faxes as needed.

Level Specific Duties

Knowledge of policies regarding services, pricing, insurance billing, and payment of account.

Monitors the correct patient work queue for the assigned department(s)

Schedule walk-in appointments if applicable.

SECURITY AND EEO STATEMENT Security This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. EEO UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.