Apply on Employer Site

Dallas Behavioral Healthcare Hospital · 1 day ago

Patient Access Representative

DeSoto, TX

Full-time

Onsite

Entry Level

3+ years exp

Dallas Behavioral Healthcare Hospital is searching for a Patient Access Representative to manage the admission and registration processes for patients. The role involves generating clean bills, verifying insurance benefits, and ensuring accurate documentation while maximizing upfront collections and minimizing account risks.

Health CareHospital

Responsibilities

Ensures patients and relatives are interviewed to obtain necessary personal and financial information needed for admission/registration of the patient

Verifies insurance benefits of the patient and fully documents the verification process in the system

Performs all admitting/registration activities to ensure that complete and accurate information is entered into the system in a timely manner

Implements policies and procedures for admission/registration of all patients

Ensures that eligibility is re-verified when applicable. (e.g. Medicare and Medi-Cal patients)

Ensures that daily census is accurate, in both paper and system formats. Accuracy includes patient location and program type codes

Completes all required forms for admission/registration of a patient and ensures that all required documentation is given to the patient and/or patient's family

Enters complete and accurate documentation into the system describing all patient related admitting/registration activities

Ensure that all patients have been given full information related to their estimated financial responsibilities to the hospital

Ensures that estimated out-of-pocket requirements have been appropriately calculated and entered into the system

Collects the estimated out-of-pocket requirements prior to the patient's discharge

Fully documents all collection efforts into the system

Reviews the out-of-pocket yield report daily to ensure that collection efforts meet the hospital-specific target for upfront collections

For situations of financial difficulties, ensures that patients are given applicable information related to payment options, such as the healthcare credit line, time payments and information related to the hospital's financial assistance processes. Ensures that these financial arrangements are finalized prior to the patient's discharge

Monitors eligible days/visits and disseminates relevant information to clinical staff, MDs, other Revenue Cycle related departments and Administration in a timely manner

Ensures full communication is given to patients of eligible days/visits and "At-Risk" notification is given to patients or the patient's guarantor, in writing when applicable in a timely manner

Monitors all information related to actual denial activity and disseminates relevant information to clinical staff, MDs, other Revenue Cycle related departments and Administration

Prepares requests for adjustments, refunds, transfers when needed to accurate reflect appropriate AR balances and submits for approval

Fully documents all transaction requests into the system

Monitors all self pay accounts to ensure patients have been quoted applicable self-pay rates and that accounts are appropriately contractualized to the self-pay rate

Monitors all self-pay balances of patients on time payment plans to verify compliance with the program and contact the patient if non-compliance occurs to make further arrangements to bring the account current

Ensures all collection activities are in compliance with State and Federal collection laws

Demonstrates understanding of the various "Self Pay" account classifications and their applicable patient statement processes

Review all self-pay balances with credit balances to ensure the balance is accurate and processes all refunds (both by check and credit card) for approval in a timely manner

Works effectively with Assessment & Referral staff to maximize all pre-admission activities

Works effectively with Case Management staff to minimize the potential for clinical denials

Works effectively with the Centralized Business Office to maximize the overall collection efforts of the hospital

Qualification

Insurance verificationPatient registrationFinancial counselingMicrosoft OfficeHIPAA complianceCustomer serviceCultural sensitivityBasic math skillsInterpersonal communication

Required

High School degree or equivalent required

None required for licenses

Must have basic PC skills that include a combination of working in a Windows Operating System and Microsoft Outlook, Word and Excel

Has knowledge of governmental and managed care payer requirements

Demonstrates understanding of the various 'Self Pay' account classifications and their applicable patient statement processes

Understands the data elements required to generate a clean bill

Understands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standards

Must have the ability to exercise a high degree of diplomacy and tact; excellent customer services and interpersonal communication skills; Cultural sensitivity and demonstrated ability to work with diverse people groups

Well developed verbal and written communication skills in English

Knowledge of basic math and modern office procedures

Ability to work well under pressure with minimal supervision

Ability to remain seated at switchboard for long periods of time without significant discomfort or distress

Ability to effectively interact with persons of widely diverse roles, backgrounds, cultures, and socio-economic classes, those in crises or resistant or negative toward organization

Must successfully pass background check, drug screen, physical and be able to provide positive employment references

With or without reasonable accommodations, must be able to stoop, kneel, crouch, reach, stand for sustained period of time, walk, pull, lift, raise and move objects from position to position (up to 50 lbs), finger grasp; feel sizes, shapes, temperatures, and textures; express or exchange ideas orally and potentially loudly, accurately, or quickly; visually detect, determine, perceive, identify, recognize, judge, observe, inspect, assess; perceive the nature of sound with or without correction; perform repetitive motions of the wrist, hands, or fingers. Typing, data entry (finger dexterity) and ability to hold hands steady on keyboard when typing. Sit at extended period of time with erect posture. Reading forms/computer screens. Ability to communicate verbally over the phone