Revenue Cycle Patient Access Representative I

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Monday-Friday 0830-1700.

One Holiday per hour

12 hour Weekend call Saturday or Sunday

May have to work Some Saturday's 0700-1630.

Job Summary: The Revenue Cycle Patient Access Representative I supports Saint Francis Health System by completing registrations with patients prior to scheduled procedures/admissions and direct admitting via workstation or bedside WOW (Workstations on Wheels). This role obtains and provides accurate legal and compliance forms as needed. Provides excellent customer service and serves as the primary liaison between the patient and the facility, always keeping the patient informed. Clearly explains patient financial liability and, when appropriate, triages patients into financial programs or collects payment in alignment with patient needs. Escalates patient financial concerns to the appropriate department as necessary.

Minimum Education: High School Diploma or GED.

Licensure, Registration and/or Certification: None.

Work Experience: None. Minimum 2 years customer service experience or 1 year related experience in health insurance field, preferred. Experience in hospital precertification and benefit/eligibility verification, preferred.

Knowledge, Skills, and Abilities: Advanced knowledge of Microsoft 365 and other applicable software. Knowledge of all general office equipment. Excellent communication skills, both written and verbal that present clear and concise information. Effective interpersonal and customer service skills. Strong financial, analytical, and decision-making skills. Excellent organizational skills. Strong ability to work in a team and hospital environment. Sound ability to organize and prioritize work and be detail oriented. Ability to work in a fast-paced environment and the ability to handle the public with many competing priorities. 

Essential Functions and Responsibilities: Registers patients for scheduled and unscheduled services, including inpatient and outpatient procedures, in all applicable hospital-based areas. Collects or verifies demographic and insurance information with a strong emphasis on accuracy. Verifies insurance coverage and ensures accurate representation of information on patient accounts. Completes all required documentation in the registration system in accordance with departmental standards and primary location procedures. Obtains and provides accurate legal and compliance forms as needed. Produces required registration paperwork for distribution to appropriate departments and maintains current knowledge of registration system operations, workflows, policies, and procedures. Maintains ultimate responsibility for ensuring all patient registration data is accurate and complete prior to billing. Provides excellent customer service and serves as the primary liaison between the patient and the facility, always keeping the patient informed. Communicates and collaborates effectively with clinical and service departments to support patient care, satisfaction, and a smooth transition throughout the facility. Explains patient financial liability and, when appropriate, triages patients into financial programs or collects payment in alignment with patient needs. Escalates patient financial concerns to the appropriate department as necessary. Assists patients, families, and visitors with wayfinding and collaborates closely with volunteers to ensure their needs are met. Manages and works through assigned workqueues during downtime between patient registrations. Processes tasks such as reviewing and updating patient information, handling follow-up actions, and ensuring timely resolution of workqueue items.

Decision Making: Independent judgment in making minor decisions where alternatives are limited and standard policies/protocols have been established.

Working Relationships: Works directly with patients and/or customers. Works with internal and/or external customers via telephone or face to face interaction. Works with other healthcare professionals and staff.

Special Job Dimensions: None.

Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.

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