Patient Access RepresentativePosition Code: PtAccessRp-____Department: Patient AccessSafety Sensitive: YesReports to: Patient Access ManagerExempt Status: NoPosition Purpose: All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHIs vision to be among the kindest highest quality health systems in the country. At the direction of management completes the registration process for patients. This includes verification of benefits discharge of patients collection of copays or payments balancing of accounts and general data entry.Key ResponsibilitiesCustomer Service and Patient Satisfaction:Provides excellent customer service contributes to the overall satisfaction of the patient experience and adheres to the Behavioral Expectations Agreement.Promptly fields and/or directs incoming calls responds to patient and/or staff inquiries.Refers patient accounts to financial counselors when further explanation/education is needed (denied authorizations out-of-pocket liabilities coverage options payment plans etc.).Consistently demonstrates a willingness to assist co-workers to support department efficiency and to support positive customer feedback goals.Participates in on-going process improvement activities for the team.Floats to other work areas as requested and regularly works nights weekends holidays and extended hours when needed.Registration/Admitting/Discharge of Patients:Demonstrates ability to preregister register schedule reschedule and discharge patients according to the defined guidelines.Enters new patient data and/or verifies patient records are up to date confirms the completeness of the electronic health record (EHR) and makes changes as necessary.Verifies insurance eligibility and benefits within a timeframe determined by KHI.Obtains pre-authorizations from third-party payers in accordance with payer requirements when needed.Ensures identified information are complete and scanned into patients electronic health record (EHR) (insurance cards photo IDs physician orders and other admission documents).Obtains signatures on all required forms.Demonstrates ability to manage co-payments deductibles allowances etc. as instructed.Patient Processing:Accurately balances daily cash to include completion of daily cash log bank deposit slip and daily reports to Patient Financial Services.Accurately utilizes insurance eligibility/audit tools and report/correct variances within the EMR.Quality performance scores must meet defined goals.Verifies insurance eligibility and benefits within a timeframe determined by KHI and obtains pre-authorizations from third-party payers in accordance with payer requirements.Collects upfront co-pays deductible and coins securing deposits on self-pay and high accounts.Regularly works nights weekends holidays and extended hours when needed.Lead Patient Access RepresentativeMeets all PAR requirements.Provides day to day leadership and supervision of PAR team members trains and orients new hire PARs and works with Supervisors to provide continuous training of existing staff.Performs QA audits of registrations works account checks and responds to account denials.Assists with the scheduling of staff to ensure appropriate coverage.Participates in the interviews for hiring new staff within the unit as well as providing feedback to the PAR supervisors for performance evaluations.Identifies supports and manages process improvement initiatives for the team.Collaborates with management to assist in the day-to-day operations of the team.QualificationsDemonstrates ability to multitask prioritize appropriately and management time efficiently.Effective oral and interpersonal communication skills.Demonstrates ability to utilize a variety of technological resources (phone computer hardware various software programs fax scanner).Education: High School Diploma or equivalentExperience:PAR: Minimum of 1 year of experience working in a customer service position and/or office settingLead PAR: Minimum of 1 year of registration or billing experience in a healthcare settingCertification:American Heart Association BLSThe following Departments/Clinics also require DPS Level 1 Fingerprint Clearance Card:8050 Resident Clinic6601 Joshua Tree Pediatrics6616 Urgent Care6600 Mountain Shadow Primary Care6605 Golden Valley Medical Center8110 Patient Access6504 Physician Services Float PoolPreferencesPreferred attributes for the position which are not absolutely required in the minimum qualifications (i.e. multi-lingual masters degree)Previous experience in healthcare registration scheduling and/or authorizationsSpecial Position RequirementsExposure Category II: Expected duties have possible but not routine potential for exposure to blood body fluids or tissues.Work Requirements:Able to reach above and below shoulder level lift bend kneel squat stand walk and sit for the full scheduled shift.Able to use telephone and computer software and hardware for most of the shift (90 of the day).