Patient Access Representative

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Administrative Support
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Covenant Health
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R289059 Requisition #
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Job Summary: Under the direction of the PAS manager, the Patient Access Representative is responsible for assisting patients during the on-site registration and arrival process for scheduled and unscheduled visits as well as completing financial clearance functions. This individual completes the registration for unscheduled visits by collecting accurate demographic information, insurance information, and collecting patient liability (if known) at the time of service. This individual is also responsible for financial clearance functions on assigned scheduled accounts during registration downtimes. In addition, this individual is responsible for miscellaneous client service activities including valuables collection and providing basic customer service. The Patient Access Representative greets and serves patients in a professional, friendly, and respectful manner to promote positive encounters.

Essential Functions: 
1. Perform full duties and task of an Associate Patient Access Representative.
2. Assist patients with the financial assistance process to include screening.
3. Read and understand patients insurance, eligibility and benefits.  
4. Understand the Authorization Policy and works with leadership and physician’s office to determine if the patient’s procedure is urgent/emergent for possible service deferral. 
5. Sends notifications to insurance companies on inpatient and observation patients and communicates with Case Management if clinicals are required and documents in Meditech notes.
6. Confirm all procedures have required authorizations.
7. Calculates patients liability, provides estimates, collect patient portion and perform cashiering functions.
8. Obtain all information necessary to perform benefits verification for unscheduled visits.
9. Coordinate with bed placement and ensure appropriate patient type and status changes are performed in a timely manner.
10. Assist patients with on site customer service functions (e.g., billing, medical records and collection inquires)
11. Ability to close cash drawers and make deposits.
12. Act as a knowledgeable resource on Patient Access for department staff. (e.g., answer questions, assist with new hires)
13. Review own work for accuracy and completeness prior to end of shift
14. Adhere to state and federal regulations
15. Meet productivity, point of service collections, and quality goals/standards.
16. Perform other duties as assigned
Advanced Knowledge/Skills/Abilities: 
1. Knowledge on navigation of Health Plan Websites
2. Knowledge of billing codes (DRG, ICD-9, ICD-10, CPT and HCPCS codes)
3. Knowledge of medical insurance and the different types of payer benefits

Minimum Position Qualifications:  
Experience: 
   A minimum of 3 years healthcare experience within Patient Access of Business office setting. 
   Previous experience with insurance eligibility systems.
   Utilization of medical terminology in job setting.
   Knowledge in medical billing codes 

Preferred Position Qualifications:  
1. High school diploma or GED preferred.
2. 5 years registration experience preferred.
3. Associates Degree in Healthcare or Business Administration.

Covenant Health is celebrating nearly 100 years of serving Lubbock and our South Plains region. As the oldest and largest health system in Lubbock and the region, we currently employ over 5,200 people with a medical staff of over 600 physicians.

For nearly 100 years, Covenant has been driven by a mission of providing a Christian ministry of healing and caring for the whole person - mind, body and spirit. Our vision and differentiator is we are the only faith-based, integrated health network in the West Texas/eastern New Mexico region dedicated to a Christian ministry of healing.

As an expression of our mission, we believe we hold an important Covenant with our patients and try and treat every interaction as Sacred Encounters.

Our ministry includes six hospitals with over 1,100 licensed beds:

Covenant Medical Center - CMC
Covenant Children’s
Covenant Specialty
Covenant Plainview - PLV
Covenant Levelland - LVL
Trustpoint  (joint venture: Rehab Hospital of Lubbock)
Covenant Medical Group (CMG)
Covenant Health Partners
Hospice of Lubbock

Covenant Health's total service area includes 25 counties that covers most of West Texas and eastern New Mexico. The service area covers approximately 750,000 people and approximately 35,000 square miles.

Covenant / St. Joseph Health (SJH) provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Covenant / St. Joseph Health (SJH) complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Positions specified as “on call, per diem” refers to employment consisting of shifts scheduled on as “as needed basis” to fill in for staff vacancies.

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