Patient Access Representative I

Job Description Summary

Performs accurate clinic registration of patients. Collects co-pay/co-insurance at time of service according to the MUSC policies. Corrects registration errors to prevent front-end denials. Provides excellent patient focused customer service. Answers phone calls, responds to emails and responds to text messages appropriately as a component to effective communication, maximizing patient flow and providing excellent customer service to patients, providers and other partners as applicable. Maintains a clean, organized and welcoming environment for patients and members as they arrive.

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type​

Regular

Cost Center

CC004944 ORBG - RMC CARDIOLOGY (DR. KRZYSTON'S OFFICE)

Pay Rate Type

Hourly

Pay Grade

Health-20

Scheduled Weekly Hours

36

Work Shift

Job Description

Job Summary:

Performs accurate clinic registration of patients, not to exclude scheduling, authorization and insurance verification functions using proper resources provided by MUSC. Collects co-pay/co-insurance at time of service according to the MUSC policies.  Corrects registration errors to prevent front-end denials. Provides excellent patient focused customer service and communicates effectively to service delivery areas to maximize patient flow and customer service. Answers phone calls, responds to emails and responds to text messages appropriately as a component to effective communication, maximizing patient flow and providing excellent customer service to patients, providers and other partners as applicable. Maintains a clean, organized and welcoming environment for patients and members as they arrive.

                                                                                               

Minimum Qualifications:

• All three of: (1) High School Diploma or GED. (2) 2 years of healthcare or related experience. (3) Certified Revenue Cycle Representative, Certified Billing and Coding Specialist OR
• Associate’s degree in healthcare or business field or comparable education and 2 years of healthcare or related experience OR
• Bachelor’s degree in business or healthcare OR
• High School Diploma or GED and Five years of direct related experience in healthcare and the patient experience, in lieu of the above requirements

Work Environment:

Primarily works in an office environment with moderate traffic that involves numerous meetings, subject to interruptions and occasionally works irregular hours and duties that may not be directly listed herein. May have to work between multiple offices at times.

             

Supervisory Responsibilities:

None.

Financial Responsibilities:

None.

Essential Functions:

• Enhances the patient, member and partner experience through excellent customer service and proactive communication.
• Answers incoming telephone calls & provides assistance includes checking and responding to voicemails and other related processes like patient reminder reports and responses.
• Meets the needs and expectations of manager/director and by extension referral sources, where applicable. Manages referrals and plan of cares to ensure clinic has appropriate documentation to support providing and billing for services needed by patient. This may include referral logs, plan of care logs, discharge logs, hard copy and electronic chart creation/accuracy and the processes associated with these areas.
• Calls patients to schedule as per department processes and guidelines and schedules follow-up visits according to plan of care in conjunction with patient input. Follows-up with patients who are off plan of care.
• Collects co-pay/co-insurance and attempts to collect on bad debt. Participates in the balancing of the cash drawer as directed. Provides estimates of patient responsible amounts as a courtesy to patients and an adjunct to point-of-service payment collection while also providing payment plan options to patients.
• Gathers & validates the required registration data set; obtains required forms and signatures. Verifies insurance coverage / benefits for visit(s).
• Attends meetings as designated by direct supervisor.
• Performs other miscellaneous and related duties as assigned.

Physical Requirements:

Physical requirements are primarily related to the essential functions of any job. In order to perform the essential functions of this position, you must be able to sit, walk, stand, use your hands, reach, talk, and hear.  Lift or exert energy up to 10 pounds 75 % of the time and up to 25 pounds 25% of the time. Close vision, distance or clear vision at 20 ft. or more and the ability to observe an area that can be seen to move up and down or left and right.

Mental Requirements:

Has the ability to respond to sensitive inquiries or complaints from guests, regulatory agencies, staff and members of the business community, and to write persuasive correspondence.  Able to define problems, collect data, establish facts, and draw valid conclusions. Deals with concrete and abstract concepts and interpret verbal, nonverbal and written instructions. 

Population Served:

This position primarily interacts with adolescents, adults and aging adults. It does not provide direct patient care, other than minor and likely infrequent non-skilled assistance. All staff members must be able to demonstrate the knowledge and skill necessary to meet the physical, psycho/social, educational, safety, and related needs of the persons in the assigned work area.

ed work area.

Additional Job Description

Minimum Qualifications:

• All three of: (1) High School Diploma or GED. (2) 2 years of healthcare or related experience. (3) Certified Revenue Cycle Representative, Certified Billing and Coding Specialist OR
• Associate’s degree in healthcare or business field or comparable education and 2 years of healthcare or related experience OR
• Bachelor’s degree in business or healthcare OR
• High School Diploma or GED and Five years of direct related experience in healthcare and the patient experience, in lieu of the above requirements

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees