Patient Representative

Patient Representative

GENERAL SUMMARY

Provides positive patient encounter as first impression of the hospital. Ensures currency of medical, demographic, insurance, and financial information through interviews and verification of insurance benefits. Uses ACMC systems / applications to capture and communicate data to Health Information systems, patient care departments, and Patient Financial Services for billing. Accurately identifies patients and obtains consent signatures required for clinical treatment. Enters appropriate diagnosis, procedure, and physician information for medical record. Communicates with insurance companies and physicians regarding coverage and authorization requirements. Uses on-line, web based, and telecommunication verification systems to ensure accuracy and to expedite payment. Collects co-pays and deductibles. Ensures compliance with local, state, federal, third party EMTALA, and JCAHO regulations. Performs all ADT functions necessary to facilitate effective utilization of beds.

MINIMUM QUALIFICATION

Education, Knowledge, Skills and Abilities

• High School Diploma required; college or business school education desired. Must have excellent verbal persuasion and communication skills. Medical terminology or the successful completion of course within one year of employment preferred. Basic PC software application knowledge and ability to use multiple data systems preferred. Extensive knowledge of billing and insurance preferred.

Required Length and Type of Experience

Required Licensure or Certification

Required Physical and Environmental Demands

Benefits

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