Patient Access Representative

POSITION SUMMARY: Responsible for the registration of all patients accessing services at Cleveland Area Hospital with emphasis on patient access/satisfaction, insurance/demographic verification, obtaining authorizations/precertification for services, and point of service collections, while maintaining accuracy, confidentiality, professionalism, and patient privacy continuously. 

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function

· Are you passionate about patient care?

· Would you enjoy being an integral part of a team on the verge of new hospital construction?

· Are you motivated by ongoing improvement and an opportunity to make a measurable impact on rural healthcare in Oklahoma?

CLEVELAND AREA HOSPITAL is an independent, self-managed Critical Access Hospital, half an hour west of Tulsa, Oklahoma. As the only hospital in Pawnee County, we are constantly striving to provide the highest level of care by continuously growing and updating our services and equipment. Our facilities include a Level IV Trauma Center/ER, Skilled Nursing/Swing Bed program, Respiratory Therapy, CT, 3D Mammography, a fully equipped Outpatient Rehabilitation Center, 24/7 Lab, and a Primary Care Clinic. The organization is a Regional Healthcare Provider in its 10th year of consistent leadership. Continuing the spirit of growth, healing, and service-driven healthcare established when the hospital first opened in 1963, Cleveland Area Hospital is on track to build a new facility, expand our services, and better serve our patients and communities.

BENEFITS:

• Competitive pay 

• 401k with up to 4% matching after the first year

• Excellent PTO accrual from the date of hire

• Generous Tuition Reimbursement Program

• Discounts on our Health Services

• Employee Appreciation and Engagement

o Birthday, Anniversary, and New Hire Gifts

o Uniform Vouchers (annually and upon hire)

o Employee Engagement events

o Employee Referral incentives

PRINCIPAL JOB DUTIES AND RESPONSIBILITIES:

1. Adhere to all policies of the organization, including (but not limited to) job description, certification/licensure requirements, mission statement, HIPAA, confidentiality standard, and patients’ rights.  
2. Make a positive contribution to the organization’s culture and stay up to date on its communications and directives.
3. Greets all patients and guests and assists with access to hospital services and ancillary departments.
4. Properly identifies patients to register encounters in the EMR system to ensure timely and accurate reporting/billing.
5. Demonstrates streamlined processes to maintain safety and quality through accurate patient identification, validates/updates Master Patient Index (MPI) according to departmental policy, protects personal health information, and accurately interprets physician orders, as evidenced by quality audits and reviews.
6. Responsible for the distribution of patient-related materials to ancillary departments.
7. Obtain the patient's or designee’s signature on all necessary documents.
8. Obtain and verify insurance eligibility through various systems.
9. Identify and collect copay, deductible, coinsurance, or any monies owed for services. 
10. Check in visitors and vendors to ensure that patient safety standards are met. 
11. Complete required Medicare forms and questionnaires with patients or legal designee. 
12. Adheres to HIPAA and EMTALA guidelines.
13. Verifies required information on the physician’s orders.
14. Obtains ICD10 and CPT codes to verify Medical Necessity to ensure reimbursement from CMS. 
15. Functions as primary Switchboard Operator while maintaining registration standards. 
16. Acquires authorization/precertification for applicable services.
17. Coordinates with daily schedules and schedulers to maximize registration time for pre-registered services. 
18. Audit accounts for errors before each shift ends.
19. Complies with infection control guidelines by practicing proper hand washing, cleaning of Patient Access areas, and documenting in SQSS. 
20. May be responsible for daily deposit preparation.
21. Supply order and stocking. 
22. Attend required department meetings.
23. Attend required educational, compliance, and safety program sessions. 
24. Complete the required educational SWANK assignments.
25. Assist with training when required. 
26. Adheres to department dress code policy. 
27. Assists patients entering and exiting the facility. 
28. Maintains a clean, well-organized work area
29. Other duties as assigned. 

Note: The Patient Access Department provides patient care 24/7. To provide the highest quality care to our patients, individuals may be required to work beyond normal scheduled shifts and to comply with Cleveland Area Hospital’s attendance policy. This includes holidays and inclement weather. Employees are expected to arrive at their positions in uniform and using the hospital time system, and be clocked in promptly at the beginning of their shift.  

EQUIPMENT:

Computer and Printer

Copy Machine

Fax Machine

Telephone

EDUCATIONAL/SKILLS REQUIRED:

High School diploma required. Must possess excellent communication and organizational skills. Working knowledge of computer-based applications and strong PC/keyboard skills are a must. Detail-oriented, able to organize paperwork and flow of patients through the registration process while maintaining a professional image. Must be customer service-driven. 

EXPERIENCE:

1-2 years of experience in the medical field, hospital, or a physician's office. 

RESPONSIBILITY FOR CONFIDENTIAL INFORMATION:

This position may have access to patient confidential records and must comply with HIPAA regulations and Compliance Policies.

WORKING CONDITIONS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to sit for extended periods of time; stand; walk; use hands to finger, handle, or feel; and reach with hands and arms. Must be able to push, pull 250 lbs., and lift 50 lbs. using appropriate body mechanics techniques. Utilizes good hearing, vocal, and visual skills. Occasionally requires bending and stretching. Pushing and pulling. May be exposed to communicable diseases.

The above statements reflect the general details considered necessary to describe the principal function of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent to this position.

EEO STATEMENT:

Cleveland Area Hospital/Lake Area Medical Associates is an equal opportunity employer and considers all qualified applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and all other protected classes.