Sanford Health Patient Access Representative - Heart Hospital in Sioux Falls, South Dakota
Job Title: Patient Access Representative | Heart Hospital | Sioux Falls
City: Sioux Falls
State: South Dakota
Department : HH-PATIENT ACCESS MANAGEMENT
Job Schedule: Full Time
Hours Per Shift: 8 hr
Two major functions of the Patient Access Representative (PAR) are patient registration and scheduling. Depending on setting, the PAR may only perform registration or scheduling duties, while in other settings, the PAR may perform both registration and scheduling duties. In all settings, the PAR performs additional duties, as assigned. Duties vary by location/setting. In a registration role, the Patient Access Representative greets patients, verifies patient demographics to accurately register and/or schedule patients, and takes care of related paperwork. Creates electronic patient files; provides, scans, and routes necessary patient forms and documents. Educates patients and captures patient signatures on necessary paperwork. Establishes and assigns financial responsibility and/or assists with arrangements while adhering to appropriate policies and procedures. Collects co-payments, pre-payments, and/or payments on account balances. May also work through the registration work queue to address and resolve issues specific to registration, including work queue errors, denied insurance claims, and maintenance of the registration database. In a scheduling role, the Patient Access Representative schedules patient appointments and procedures, obtains and coordinates referrals, conducts pre-authorization, arranges interpreter services, checks patients in/out, and offers patient enrollment to additional Sanford resources. Collaborates with nursing team and providers to coordinate appointments to meet patients' needs. May coordinate provider schedule, resolve work queue issues and manage recall and waitlists. Operates multi-line telephones and depending on location, may serve as a switchboard operator calling codes and paging providers. Based on setting, additional duties may include preparation and coordination of charts; organizing supporting provider documents; discussing pre-payment responsibilities; initiation of patient financial assistance; prior authorization; track patient visits; collaborating with patient financial services and health information management on patient accounts; work on weekly and monthly reports; compiling, distributing, administering and scoring of assessments; coordination of Telemed appointments; provider and schedule maintenance; charge entry/billing and charge verification; reminder calls for appointments; hospital admission; make copies, send faxes, and order supplies. In all settings, the Patient Access Representative serves as a mentor for new Patient Access Representatives and other staff. Displays professionalism and promotes an atmosphere of mutual respect and cooperation. Must be able to work as part of a team and also work independently. Frequently takes direction from nursing team. Must always maintain confidentiality of sensitive information. Requires excellent customer service and the ability to empathize with patients and their situations. Working knowledge of medical terminology and use of professional written communication when making notes.
Greet visitors, ascertain purpose of visit, and direct them to appropriate staff. Registers patients and obtains admission data, as well as demographics and insurance information through patient interviewing. Verifies all insurance information is up to date and correct; maintains patient data in an electronic registration system and on patients chart. Works with providers to secure necessary medical records and authorize routine treatments. Answer telephones and direct calls to appropriate staff. Helps patients fill out forms and sign related documents according to prescribed procedures. Schedule tests or procedures for patients, such as lab work or x-rays, based on physician orders. Operates and maintains standard office equipment such as copiers, faxes, phones.
Full-time, 40 hours a week. 7:30a-4:00pm Monday-Friday.
May require BLS for certain locations and/or settings. Minimum of a high school education or GED is required. Courses in business and communication would be helpful. Medical terminology courses helpful. Typing required. Worker receives on the job training in hospital and clinic routines and policies. Previous experience in medical environment preferred, but not required.
About Sanford Health:
At Sanford Health, we are dedicated to the work of health and healing.
Every day, we show that commitment by delivering the highest quality of care to the communities we serve.
We are leaders in health care and strive to provide patients across the region with convenient access to expert medical care, leading-edge technologies and world-class facilities.
In addition to strong clinical care, we are also committed to research, education and community growth.
We engage in medical research to not only discover innovative ways to provide care, but also cures for common diseases.
We continuously seek new ways to achieve our vision of improving the human condition here in your community,
across the region and around the world.
The entire team at Sanford Health recognizes the value of healthy families and communities.
We continue to gain momentum and expand our reach. Together, we can make a positive difference now, and in the future.
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City: Sioux Falls
State: South Dakota
Job Function: Revenue Cycle
Job Schedule: Full Time
Req Number: req26309