Patient Access Representative

Duties-

1. Contributes to all functions of the

financial office and ED Clinical Operations by ensuring that coverage for the

position is always provided. Covers Emergency departments and

Advanced Urgent Care; may float between all locations. Performs all functions

in downtime and disaster conditions.

2. Arrives both ambulatory and non-ambulatory

patients. Communicates with emergency services such as Fire, Rescue, and

AMR to obtain patient information for encounter creation and uses all available

tools to process the patient for financial clearance. Identifies and

elevates patient financial issues to the appropriate person for resolution.

3. Creates the visit, identifies and selects

the correct patient record within LLEAP to prevent duplicate MRNs, completes

full registration (HAR), verifies benefits, eligibility and estimated patient

responsibility upon completion of the MSE and provides notification of

Admission to Payors. Conducts this work in accordance with EMTALA guidelines

and restrictions, requiring multiple contact points with patients as the

clinical visit transpires.

4. Sustains a working knowledge of and uses

all tools available to perform job duties such as EPIC, Change Healthcare

Clearance, Insurance Company Websites, and Microsoft office.

5. Maintains ongoing communication with

payers, medical groups, physicians, nursing, case managers, and social workers

as necessary to facilitate appropriate discharge or admission requirements.

Submits notice of emergency department admission to insurance groups when

applicable.

6. Maintains an understanding of how changes

in patient routing such as observation and inpatient admissions affects

financial clearance and is able to explain the process accurately to the

patient and family. Explains alternative ways for patients to meet financial

obligations including but not limited to payment plans and if applicable

Medi-Cal and Financial Assistance Applications.

7. Assists patients in understanding their

insurance coverage benefits, authorization requirements, contractual

agreements, financial liabilities, and support services available to assist

patients based on their rights as a patient

8. Obtains signature on all regulatory

required documents and explains such documents to patients and family regarding

Title 22 Patient Rights, Responsibilities, Filing a Grievance, Visitation

rules, Legal assistance, Advance Directives, and the Hospitals Financial

Assistance Policy.

9. Follows up with police agencies to obtain

police reports required for auto accident billing, completes Doctors First

Report for workers compensation injuries, requests SAR (Service Authorization

Requests) for children seen in the emergency room and urgent care with CCS

qualifying diagnosis.

10. Determines the level of care being

provided. Collects payments based on type of service and posts payments in

LLEAP.

11. Processes, in real-time, financial

information such as liability rates and charity options. Exhausts all resources

to obtain the most complete demographic and financial information on all

patients.

12. Functions as the liaison between

admitting, registration, nursing, case management social work, Medi-Cal

Eligibility Team, and billing.

About TEKsystems:

Were partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. Thats the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.