Patient Access Representative

Job Description

ECU Health

About ECU Health Physicians

ECU Health Physicians is multi-specialty group with over 600 providers in more than 140 primary and specialty clinics across more than 110 locations in eastern North Carolina.

Position Summary

Performs patient registration. Provides insurance benefits interpretation and counseling. Maintains medical terminology skills and knowledge of third party payer regulations. Performs patient and customer relations. Completes other duties as assigned.

Responsibilities

• Register patients and or their representatives in a timely and efficient manner. Obtain demographic and insurance information for billing, compliance and release of information. Requires strong interpersonal skills and ability to interview patients in stressful situations.  Patient registrations are performed in a high volume, fast-paced, dynamic environment.
• Interpret and explain various forms to meet privacy and regulatory requirement.  Obtain the appropriate signatures on all require documents.
• Inform patients of clinic policies such as filing of insurance,  consent to treatment, and other regulatory requirements.
• Prepare electronic financial folders to include all information pertinent to billing i.e. pre-certifications documents, benefits information, insurance card copies and signed registration documents.
• Operate office machines; correct minor equipment failures of office machines and contact vendors when necessary to fix major equipment failures.
• Review physician orders for coding and routing purposes.
• Provide insurance benefits interpretation and counseling based on the information provided either via the electronic eligibility function or the manual process. Coverage is explained to the patient to include notification of any deductibles or co-pays.  Payments are received after services are rendered. The pre-certification process is explained and information is verified with the patient and or representative.
• Maintain medical terminology skills and knowledge of third party payer regulations.
• Maintain skill set through daily use of appropriate medical terminology and application of regulations.  Knowledge also supported by updates posted in regulatory bulletins and insurance contracts.
• Monitor registrations for completeness and accuracy.
• Maintain and submit daily registration activity logs.
• Monitor forms for appropriate signatures and completeness.
• Greet patients in a professional manner to determine service needs.
• Direct  patients to the appropriate service areas.
• Cross train to perform other duties within Patient Access Services.
• Maintain productivity reports.
• Participate in special projects.
• Coding and billing.
• Enters charges from coded encounter forms/charge sheets into A/R system in a timely manner. 
  • Enter patient demographics into computer system. 
  • Enter appropriate charge in computer system. 
  • Maintains EPIC software workques (charge entry, claim   edit, patient account) at reasonable levels.
• Responsible for the timely and accurate entry of grant fund information into the designated database for tracking and reporting purposes.  
  • Coordinate with inpatient unit to obtain and enter appropriate charge in designated database.

Minimum Requirements

High School or equivalent (GED) or higher is required.

Associate Degree: preferred

Bachelors Degree: preferred

2 years Customer Service is required

1 to 2 years of Registration and/or Billing experience within a healthcare setting is preferred.

Excellent communication (both written and oral), detail orientation, organization, and multitasking skills required.

Basic computer skills

Other Information

PRN position.

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.