Access Services Representative

Access Services Representative 1

The Access Services Representative 1 gets accurate demographics and insurance information. This helps register patients, verify insurance benefits, and collect patient financial responsibilities.

Essential Functions of the Role :

• Conducts and documents patient interviews to obtain demographic and financial data for registration, insurance verification, precertification and billing.
• Registers patients at multiple locations and works in different department areas. Knows the patient flow processes in each area. Identifies process improvement opportunities that promote team concepts with co-workers. Improves revenue cycle functions and the patient experience.
• Interacts regularly with other areas and departments to provide information on patient delays and schedule changes.
• Verifies patient eligibility for insurance coverage and benefit levels for services. Calculates and collects patient dues according to financial policies. Establishes patient liability and advises on deposit requirements. Negotiates payment arrangements with the patient as needed.
• May be responsible for cashiering duties following established policies and procedures. This could be the main responsibility in the department.
• Assists patients to nursing units by providing directions, personal escort and medical mobility assistance (e.g., wheelchairs), when applicable.
• Adhere to compliance with order validations, cash policy, government payor, and patient safety requirements for proper patient identification.
• Appropriately escalates potential service issues to management when necessary.

Key Success Factors :

Qualifications :