Patient Representative 7107

 Vail Health




Job Details

  • POSITION PURPOSE: Two to three sentences describing the overall purpose of the position.
    • Position is responsible for patient-facing registration and associated tasks including: information collection and validation; requisitioning of orders and services; and insurance-related tasks such as verification, medical necessity screening, and collection of co-payments and associated paperwork. Additionally, this position will perform order entry; activate registrations; report admissions & transfers; and other duties as assigned. Customer service should be a focus at all times.
  • ESSENTIAL JOB FUNCTIONS: Maximum of ten functions in order of percentage of time spent on functions from longest to shortest; do not list anything that does not represent at least 10% of the job's time. Please include supervisory responsibilities.
    • Collects and verifies all relevant demographic and insurance information for patient at time of contact. Follows up with patients and clinicians in timely and personable manner should information be found to be incorrect/incomplete.
    • Registers patients and performs all registration-related functions, including explaining and obtaining all necessary patient consents and authorizations in a complete and timely manner, and collecting financial paperwork (e.g., patient responsibility statement, etc.) and co-payment as required.
    • Communicates effectively with patient to assist in access to care by: answering telephone and other incoming communications in a timely and customer-service oriented manner; replying to inquiries, patient needs for information, and other parties clearly and in a timely manner; and, if information is not readily available, follows up with inquiries to responsible party.
    • Scans all patient documents into hospital information systems; Activates pre-registration or full registration in all pertinent hospital information systems; enters relevant orders in those systems as required.
    • Obtains all relevant information from scheduling and pre-service process for scheduled patients, and obtains orders from physicians or patients for unscheduled, non-emergent patients.
    • Performs on-going documentation audits for medical necessity, need for ABNs, current prescription, plan of care, and other related tasks or requirements by payors, including Medicare, using a variety of computer-based systems.
    • Promotes and contributes positively to the teamwork of the department by assisting co-workers, contributing ideas and problem-solving with co-workers
    • Assist with clinic setup and table turnover.
    • Complies with federal, state and local legal and certification requirements.
    • Assists and is responsible for the cleanliness and appearance of clinical area. Keeps clinic organized and properly stocked per Par Form, which is updated by Patient Representative and Staff quarterly to ensure efficiency.
    • Perform other duties as assigned. Must be HIPAA compliant.
  • This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.
  • MINIMUM QUALIFICATIONS: Requirements - Required and/or Preferred
    • Experience:
      • On-the-job training is provided. Previous admitting or clerical experience preferred. Familiarity with medical terminology preferred. Prior customer service experience and training preferred.
    • License(s):
      • N/A
    • Certification(s):
      • N/A
    • Computer / Typing:
    • Must have working knowledge of the English language, including reading, writing, and speaking English.
    • Education: