Additional Job Information
The Patient Access Representative is often the first point of contact for our patients and therefore must represent Boone Health with the highest standard of customer service, compassion and perform all duties in a manner consistent with our mission, vision, values, and Boone Health service standards. The Patient Access Representative will facilitate all components of the patients' entrance into any Boone Health facility. This position will require a high level of emotional intelligence and making a personal connection. The patient experiences vary broadly based on their medical needs and acuity. This position highly impacts the ability to maximize the level of reimbursements and prevention of denial by accurate collection of demographics and insurance information, benefit verification and point of service collection. Selecting the correct patient from the master person index (MPI) is critical to patient safety. This team member must possess a friendly demeanor, exceptional attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal, state, and accreditation agencies.
Job Responsibilities
The responsibilities of this position include hospital registration and scheduling within multiple Boone Hospital systems. Assures proper patient identification, registers, schedules, verifies insurance, scans and retrieves documents within multiple Boone Hospital systems. Validates that the order is complete, signed by the ordering provider, and the correct test is ordered. The attention to detail is essential to ensure accurate patient records. Strong communication skills are necessary in order to provide the patient with preparation instructions for each scheduled procedure, education on financial responsibilities and collection of applicable patient payments.
In order to comply with complex regulatory guidelines, must be able to understand, articulate and enforce hospital compliance with Medicare Secondary Payer (MSP), HIPAA Privacy Standards, Patient Bill of Rights and Responsibilities, Advance Directives, Consent to Treat, EMTALA, JCAHO Requirements. Each patient completes HIPAA acknowledgement. This position requires a higher level of independent thinking in order to solve complex issues.
Utilize critical thinking skills to assess and respond to a variety of situations, anticipating patients' needs and being able to respond to them. Communicate in a professional, positive, and patient-focused manner with all patients, families, and co-workers whether in-person or by phone. This responsibility is critical to ensure positive patient experience, maximize reimbursements, and minimize denials and avoidable write-offs, and ensuring that we are maintaining the integrity of the patients clinical and financial record by correctly selecting the correct from our MPI Working independently, this team member will consistently meet or exceed quality standards and serve as mentor for lesser skilled employees.
Performs Other Responsibilities as Assigned.
Minimum Qualifications
High School Diploma or GED
< 2 Years’ Experience
Preferred Qualifications
Associate Degree
2-5 Years’ Experience
CHAA License/Certification
Work Shift
Day Shift (United States of America)
Legal Statement
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.
Equal Opportunity Employer
Boone Hospital Center has been a leader in meeting the health care needs of mid-Missourians since its founding in 1921. Boone Hospital is a regional referral center that has earned a reputation for excellence in cardiovascular medicine, obstetrics, neurology, oncology, orthopedics, and surgical services. Boone Hospital Center has been certified as a "Magnet Hospital" three consecutive times by the American Nurses Credentialing Center and has twice been named as one of the nation's 100 Top Hospitals by Thomson Reuters.
Through progressive health care programs, services, and technology, Boone Hospital Center continues its tradition of providing quality health care and excellent patient service. The hospital completed its largest-ever expansion in 2011, with a new nine-story patient bed tower that houses 128 private patient rooms.
