Arranges for the efficient and orderly admission of patients, ensuring that all points of registration (Emergency Room, Outpatient Ambulatory, SDS, Behavioral Health & Admitting) are obtaining accurate patient information and that patients are made aware of hospital policies and procedures. The Patient Access Representative interacts with the hospital staff and patients to assure quality care of patients throughout their hospital stay.

Accepts reservations for hospital admission, clinic visits, SDS, ED and behavioral health services. Inputs information in Paragon and completes appropriate forms.

Receives and records accurate demographic, financial and insurance information for all patients registered. Verifies all information and updates the patient’s information in the computer as necessary.

Verifies the accuracy of demographics and insurance information at the time of patient’s admission. Scans each required items (if available) such as ID/Insurance Cards/Consents and eligibility into ILE.

Contacts insurance companies on behalf of the ED clinical staff in notification of a patient’s admissions to the behavioral health units.

Refers patients that are self-pay to the appropriate ARMDS representative to see if the individual qualifies either for Medicaid and/or Charity Care.

Obtains financial clearance and approval for any patient seeking ambulatory and/or outpatient psychiatric services.

Admits, discharges and transfers patients to and from units such as Emergency Room, Skilled Nursing Facility, Psychiatric Services, SDS, etc.

Coordinates with nursing the assignment of acute care beds based on sex, diagnosis, acuity and age. Behavioral Health beds are assigned by the Access Center as well as the ED nursing staff.

Ensures that each discharge order received has a discharge disposition and that upon a patient status transfer the service code and plan code have been selected correctly.

Collects payments for deposits to meet deductibles and co-insurance.

Notifies supervisor concerning admissions that do not meet the hospital financial policy.

Maintains accurate logs (i.e., Census, Outpatient Ambulatory).

Participates in educational programs and in-service meetings.

Cross-trains in different divisions.

Skills

Required

Preferred

Required