The Patient Access Representative is responsible for assisting patients during the onsite registration and arrival processes for scheduled and unscheduled visits. The Representative in this role must have excellent customer service skills and the ability to manage multiple tasks simultaneously and adjust to issues as needed in a dynamic work environment. This employee completes the patient access process for inpatients and outpatients, takes demographic, reviews insurance and medical information, ensures managed care requirements are met, collecting patient liabilities when necessary and complies with regulatory guidelines.
Activate patients in the patient management system upon arrival on the date of service and assist patients and customers in navigating throughout the hospital facility.
Obtain and enter demographic and other financial and clinical information necessary for financial clearance of scheduled/unscheduled accounts.
Responsible for understanding eligibility responses from insurances to assist patients in understanding their insurance benefits; copay, deductible, coinsurance.
Verify that there is a complete physician order in place at time of service.
Ensures that all necessary documents, including consents, insurance card copies, photo IDs, and other documents as deemed necessary are scanned into the patient business cycle system and obtain all necessary patient signatures at time of arrival.
Collect remaining patient liability responsibilities that were identified during financial clearance or RTE review, and offer prompt pay to all patients on date of service or before discharge for admitted patients (with the exception of WI region).
Assist patients with onsite customer service functions (e.g., billing, medical record, and collection inquiries) by coordinating with other patient business services functions and departments such as Financial Counseling. The ability to perform collections and cashiering functions when necessary.
Requires High School diploma
3 to 12 months of experience
SSM Health - System Office –
SSM Health is one of the largest Catholic health systems in the country and is dedicated to quality and compassionate care for anyone in need, regardless of ability to pay. Based in St. Louis, where its System Office is located, SSM Health operates 20 hospitals in Wisconsin, Illinois, Missouri and Oklahoma. We provide care in various settings: outpatient sites, physician offices, a pharmacy benefit company, an insurance plan, hospitals, nursing homes, home care, hospice, telehealth and a technology company.Our Mission: Through our exceptional health care services, we reveal the healing presence of God.
You’ve known us as many names throughout St. Louis, and now, we’re bringing our hospitals, doctors, home care and other services together under one name – SSM Health. With seven hospitals, 350+ physicians, more than 40 physician locations and 12,000 employees, we are part of something bigger and better. We’re connected to a wealth of resources, expertise and advance technology to help you, your fa...mily and our community live long, healthy lives.
We’ve grown and changed a lot over our 143-year history. Our name may be changing but our mission remains the same