What are the responsibilities and job description for the Patient Access Associate I position at medstar?
Department: Emergency Room
Status: Per diem (Benefits not offered)
Schedule: Weekends
Job Summary:
Responsible for communicating with patients, families, physicians, quality review and insurance companies to obtain information and insurance verification to assure quality patient care and payment of hospital accounts. This includes greeting patients, providing information, answering phones, registering outpatients and/or inpatients, coding lab accounts and entering orders as required. Additional responsibilities include, obtaining all demographics, insurance information, appropriate codes, and authorizations from insurance companies, patients (or their representatives) and physicians in a courteous and efficient manner for billing.
Join one of the largest healthcare systems in the Baltimore-Washington metro region, also recognized as one of the "Healthiest Maryland Businesses". Apply today and learn how MedStar Health can be your next great career move!
Primary Duties:
Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.
Greets all patients, family members and visitors into the department/service area. May screen visitors and issue visitors pass. Alerts nurse when patients present with any complaints that could be perceived as acute or life threatening. Places ID band on each patient.
Interviews patients, families and outside sources to obtain complete and accurate demographic and financial information. Inputs data into system for registration, billing and patient tracking.
Ensures that all necessary questionnaires and specific forms are completed according to predetermined requirements by government or regulatory agencies or hospital policies. Completes ABN process through registration system as needed, explains to patient as required. Completes Medicare Secondary Payor Questionnaire (MSPQ) as required. Distributes Medicare Letter to inpatients.
Confirms coverage using online electronic verification systems; selects appropriate insurance codes and may obtain authorizations by utilizing online electronic verification system, or other resources, such as, HDX, EVS or Blueline; follow up on insurance authorizations and referrals if needed.
Explains regulatory financial requirements to the patient or responsible party and collects deposits and deductibles, as required. Reviews past due accounts at the time of service collects payments; refers patients to patient advocacy for any additional financial assistance.
Qualifications:
High School Diploma or GED required
Customer Service experience required
Knowledge of medical terminology and healthcare experience preferred
