Lead Emergency Department Access Representative-Full Time-Variable

Major Job Functions

• Under supervision, registers emergency service patients in a fast-paced environment, creating patient accounts within (90) seconds of patient's arrival; allowing the clinical emergency department team to meet door to doctor goals
• Queries EAD and enters accurate patient demographics into the computer system to obtain the correct patient medical record number and account number
• Responsible for placing patient identification armbands on all Emergency Department patients after accounts are created, in order to ensure patient safety
• Obtain all demographic, guarantor, and insurance information and is to accurately document this information into the registration system and on any applicable forms
• For patients being placed in observation or admission status, the ED Access Representative will obtain a physician order to support services rendered
• Performs insurance eligibility/benefit verification, utilizing an EDI transaction and documenting information within the appropriate registration system
• Informs patient/guarantor of their liabilities and collects appropriate patient co-payments, co-insurances, deductibles, and deposits at the point of discharge
• Ensures integrity of patient accounts by working error reports daily, entering accurate data, and documenting all attempts made to collect and or obtain missing documentation
• Provides timely and continual coverage of assigned work area to offer prompt patient service and be available for all clinical partners registration needs
• Assists with the scheduling of staff to ensure proper coverage of the department
• Other duties as assigned

Minimum Qualifications

Education and Formal Training

• High school diploma or equivalent required
• College courses in Business, Medical Office Administration, Health Care Administration, and/or Computer Technology preferred
• Patient Access Specialist certification required
• National Association Healthcare Access Management: Certified Healthcare Access Associate (NAHAM CHAA) certification preferred
• Medical terminology required within 90 days of initial employment

Work Experience

• 1 year insurance/clerical experience within a hospital or medical office setting preferred

Knowledge, Skills, and Abilities Required

• Proficiency in reading, writing, and speaking the English language
• Knowledge of insurance and collection of payments preferred
• Knowledge and experience with Microsoft windows required
• Knowledge of basic functionality of personal computer
• Ability to type and perform data entry functions
• Excellent verbal and written communication skills required
• Customer service skills to a variety of customers
• Critical thinking skills and ability to problem solve and multi-task required
• Multi-skilled with the ability to appropriately handle complexity and stress with the changing needs of the patients, families, visitors, and the Health System