Patient Access Representative

Overview

Be inspired. Be valued. Belong.  At Emory Healthcare 

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.  We provide:  

•  Comprehensive health benefits that start day 1  
• Student Loan Repayment Assistance & Reimbursement Programs  
• Family-focused benefits  
• Wellness incentives 
• Ongoing mentorship, development, leadership programs 
• And more 

Description

Responsibilities:

• A Patient Access Representative will assist in the coordination, prioritization and completion of front-end patient registration activities ranging from pre-registration through discharge in the Patient Access Services Department.
• The representative will ensure patient insurance verification is accomplished and all requirements are met.
• Accurately completes patient registrations based on departmental protocols and standards, policies and procedures, and compliance with regulatory agencies.
• A Patient Access Representative prioritizes work for optimal reimbursement and to avoid financial risk to both patient and hospital.
• Ensures all insurance requirements are met prior to or on the date of service and informs patients of their financial liability and collects liability due.
• Ensures all uninsured patients are referred to a financial counselor as appropriate.
• A Patient Access Representative will also assist patients, guarantors and families with insurance questions in a professional manner and is responsible for escalating any unaddressed insurance benefit concerns to the department Financial Counselor.
• Maintains knowledge of multiple department system applications utilized by Patient Access. Familiar with and adheres to all state and federal regulations such as EMTALA, CMS, HIPAA, and JCAHO guidelines. Effectively communicates identified issues and concerns in a constructive and professional manner.

Minimum Qualifications:

• High school diploma or equivalent. Working knowledge of Health Plan coverage types.
• 1 year of related experience in a healthcare or institutional work setting, or customer service. Registration/telephone/call-center; pre-registration/scheduling experience preferred.
• Excellent interpersonal, verbal, and written communication skills and ability to speak and write effectively at a level appropriate for the job.
• Ability to work well with individuals at all levels of the organization.
• Experience using general office equipment.
• Proven ability to work in a fast-paced, demanding team environment with daily deadlines.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.