Patient Access Representative Job

Full Job Title: Representative Patient Access

Job Number: 17002105

Facility: SSM Health St. Mary's Hospital - Madison

Location: Madison, WI

Schedule: Part Time

Hours: Varied

Description

Role Purpose:
This position is responsible for assisting patients during the onsite registration and arrival processes for scheduled and unscheduled visits, and insurance verification for walk-in visits as necessary. Under general supervision, and following established policies and procedures, completes patient access process for inpatients and outpatients, takes demographic, insurance and medical information, assigns account numbers, ensures managed care requirements are met, and complies with regulatory guidelines.
Schedule:
11am-7:30pm
3:00pm-11:30pm


Responsibilities:
    • Activate patients in the patient management system upon arrival on the date of service and assist patients and customers in navigating throughout the hospital facility.
    • Obtain and enter demographic and other financial and clinical information necessary for financial clearance of scheduled/unscheduled accounts.
    • Responsible for understanding eligibility responses from insurances to assist patients in understanding their insurance benefits; copay, deductible, coinsurance.
    • Verify that there is a complete physician order in place at time of service.
    • Ensures that all necessary documents, including consents, insurance card copies, photo IDs, and other documents as deemed necessary are scanned into the patient business cycle system and obtain all necessary patient signatures at time of arrival.
    • Collect remaining patient liability responsibilities that were identified during financial clearance or RTE review, and offer prompt pay to all patients on date of service or before discharge for admitted patients (with the exception of WI region).
    • Assist patients with onsite customer service functions (e.g., billing, medical record, and collection inquiries) by coordinating with other patient business services functions and departments such as Financial Counseling. The ability to perform collections and cashiering functions when necessary.

Qualifications

Minimum Requirements:
  • Requires High School diploma
  • 3 to 12 months of experience required
Preferred Requirements:
  • Medical terminology preferred

About SSM Health - System Office:

SSM Health is one of the largest Catholic health systems in the country and is dedicated to quality and compassionate care for anyone in need, regardless of ability to pay. Based in St. Louis, where its System Office is located, SSM Health operates 20 hospitals in Wisconsin, Illinois, Missouri and Oklahoma. We provide care in various settings: outpatient sites, physician offices, a pharmacy benefit company, an insurance plan, hospitals, nursing homes, home care, hospice, telehealth and a technology company.Our Mission: Through our exceptional health care services, we reveal the healing presence of God.

SSM Health is an Equal Opportunity and Affirmative Action Employer. Qualified applicants are considered for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other characteristic protected by law. Learn More »


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