The Patient Access Associate 4 completes work assignments within established quality standards while communicating effectively with various audiences by using the most appropriate methods for the situation. Counsels patients on financial liability by using available financial counseling tools to achieve maximum reimbursement for patient services. Verifies and enters insurance information and authorization/referral requirements into databases while performing other assigned duties related to the admission of patients. Identifies, analyzes, and effectively solves problems while providing excellent service by identifying customer needs and fulfilling expectations. Contributes to the fullest potential to achieve team goals while managing the completion of work assignments based on priority and due dates.
Job Responsibilities
- Encourages open communication of ideas and opinions; Coaches staff on communication methods/skills to foster effective and positive communication; Explains insurance benefits and patient liability using appropriate communication methods/styles.
- Accepts responsibility to review and correct errors before completion and route to others for review when appropriate.
- Requests and secures balance due payments from patients in accordance with established policies/procedures.
- Reviews documented insurance benefits and patient liability in appropriate system(s) to prepare for patient counseling sessions; Maintains updated authorization/referral requirements information and communicates to team members accordingly.
- Maintains knowledge of current local, state, federal and third party regulatory requirements; Facilitates pre-admission by performing tasks such as routing test results or assisting patients with billing/insurance processes.
- Educates and assists patients with the completion/submission of applications for alternative sources of payment for healthcare services including medical assistance programs, loans and grants.
- Resolves emergencies and conflicts with patients or visitors; As needed, reports safety hazards or violations and takes appropriate action to protect the environment and guests until help arrives.
- Provides appropriate assistance to and on behalf of patients demonstrating and communicating a need for assistance; Reports all near misses, accidents and occurrences for patients, visitors and staff.
- May perform additional duties as assigned.
Additional Requirements
Experience - 3 years of healthcare patient access experience or experience in a healthcare revenue cycle. Must be employed by Inova Health System for 1 year.
Education - High School diploma or equivalent.
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