Patient Access Representative I
stanfordmedicine
Full time💰 USD 31–35
Patient Access Representative I
wth· 599 West Tennessee Medical Group, Inc
About this role
Category:
Admin SupportCity:
MartinState:
TennesseeShift:
0 - Day (United States of America)Job Description Summary:
This position is responsible for completing the financial clearance process within Patient Access Services and creating the first impression of WTH’s services to patients and families and other external customers. The PAS Representative must be able to articulate information in a manner that patients, guarantors, and family members understand so they know what to expect and have an understanding of their financial responsibilities. This position assumes responsibility for collecting and documenting information on behalf of the patient. The PAS Representative may be responsible for completing the pre-registration, registration, insurance verification, benefits verification, certification, referral management, patient liability collections, and medical necessity check -- as well as interviewing patients and guarantors to obtain information to screen for financial counseling, verifying eligibility and corresponding benefit levels, coordinating referrals, and obtaining treatment authorizations. The PAS representative will also work with medical staff, nursing, ancillary departments, insurance payers, and other external sources to assist families in obtaining healthcare and financial serviceESSENTIAL JOB FUNCTIONS:
- Process - Maintains the best practice routine per department guidelines.
- Daily work queues are maintained at acceptable levels according to department policies.
- Correspondence worked daily to current.
- Registration - Performs financial clearance process by interviewing patients and collecting and recording all necessary information for pre-registration and registration of patients.
- Ensures that proper insurance payer plan choice and billing address are assigned in the automated patient accounting system.
- Verifies relevant group/ID numbers.
- Completes the registration process according to established policies and procedures.
- Informs families with inadequate insurance coverage regarding financial assistance through government and financial assistance programs.
- Performs initial financial screening and refers accounts for financial counseling and/or appropriate eligibility assessments.
- Ensures all referrals and treatment authorizations for all patient types have been obtained according to the outlined requirements.
- If not obtained, contact payers for approvals.
- Completes initial medical necessity checks.
- Refers to the designated area if medical necessity fails or if referrals /authorizations are denied.
- Communication & Miscellaneous - Advises next-level leader of possible postponement or deferrals of any elective/non-emergent admission which has not been approved prior to service date.
- Maintains accurate files for pre-processing information as required.
- Investigates, resolves, and documents patient problems in a timely and efficient manner.
- Maintains accurate files for pre-processing information.
JOB SPECIFICATIONS:
EDUCATION:
- High School Graduate, or equivalent
LICENSURE, REGISTRATION, CERTIFICATION:
- N/A
EXPERIENCE:
- 1-2 years of health care or related experience preferred.
NONDISCRIMINATION NOTICE STATEMENT
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, disability, religion, national origin, gender, gender identity, gender expression, marital status, sexual orientation, age, protected veteran status, or any other characteristic protected by law.
Frequently Asked Questions
Is the salary disclosed for the Patient Access Representative I position at wth?
The salary for this Patient Access Representative I role at wth is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Patient Access Representative I position at wth located?
This Patient Access Representative I role at wth is based in Martin Specialty Care MOB. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Patient Access Representative I role at wth full-time or part-time?
This is listed as a Full time position. It is posted as a Patient Access Representative I role in the 599 West Tennessee Medical Group, Inc department at wth.
Which team or department does the Patient Access Representative I at wth belong to?
This Patient Access Representative I position is part of the 599 West Tennessee Medical Group, Inc department at wth. See the full job description for more information about the team structure and responsibilities.
How do I apply for the Patient Access Representative I position at wth?
Click the "Apply Now" button on this page. You will be redirected to wth's official application portal hosted on workday where you can submit your application directly.
Patient Access Representative I
wth
You'll be redirected to wth's official application page on Workday.