Pre Registration Patient Access Associate
Arnot Health
Job Description
MAIN FUNCTION:
The Pre-Registration Patient Access Associate plays a critical role in ensuring that patients are fully prepared for their scheduled healthcare services by accurately estimating financial responsibilities and conducting thorough pre-registration processes. This includes pulling daily reports for scheduled services, identifying patients based on insurance type, creating estimates for patients with commercial and Medicare coverage, and conducting pre-registration calls to verify demographic information, insurance details, appointment specifics, and providing directions to the service location.
DUTIES AND RESPONSIBILITIES:
+ Accurately estimate patient responsibility for upcoming services and communicate these estimates to patients.
+ Document prior unpaid outstanding prior balances and add with the estimate to create “Total Guarantor Responsibility”.
+ Request payment, over the phone, for estimated service costs and any outstanding balances before appointments.
+ Explain in detail patients' insurance coverage and responsibilities, ensuring clarity and understanding.
+ Assist patients with navigating payment and financing options for the patient cost-share for future services and prior balances.
+ Pre-Qualify guarantors whose remaining balances are over $500 and don’t qualify for Medicaid, charity or other financial assistance programs.
+ Coordinate closely with billing and insurance verification teams to gather accurate financial information for patient pre-registration.
+ Pull daily reports for scheduled services, including outpatient services/therapies, surgery, GI/Endo, radiology, and dialysis.
+ Provide patients with clear directions to the service location for the day of their appointment.
+ Perform other duties as assigned to support the Patient Access Services Department.
EDUCATION:
High school diploma or GED required; some college or Associate's/Bachelor's degree in business, finance, or related field preferred.
QUALIFICATIONS:
Knowledge of medical terminology, healthcare billing, and insurance verification processes.
Strong financial acumen and a thorough understanding of patient responsibility amounts, including copays, deductibles, and coinsurance.
Excellent communication, negotiation, and interpersonal skills, with the ability to explain complex financial information in a clear and compassionate manner.
Proficiency in using hospital information systems, electronic health records, and office software.
PHYSICAL DEMANDS:
Requires extended periods of standing or sitting.
Requires extended periods of discussing patient responsibility balances with patients over the phone.
EXPOSURE CATEGORY:
Category III. Tasks that involve no exposure to blood, body fluids, or tissues. Category I tasks are not a condition of employment.
Requirements
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