Patient Access Representative

Your experience matters

At Ascension Saint Thomas Rehabilitation Hospital we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve.

What we offer

Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers:

Health (Medical, Dental, Vision) and 401K Benefits for full-time employees

Competitive Paid Time Off

Employee Assistance Program - mental, physical, and financial wellness assistance

Tuition Reimbursement/Assistance for qualified applicants

And much more...

Job Summary:

This position will work under the direction of the Director of Business Development and Admissions Coordinator and be responsible for patient admissions, insurance verification and other insurance verification duties as directed. This individual will be responsible for obtaining the necessary demographic information of the patient which may require interviewing patients or their representatives. This position is also responsible for preparing/processing admitting forms and keeps abreast of all new insurance updates and regulations.

Essential Functions: Processes referrals and coordinates admissions of all hospital patients in an efficient, responsive manner.

• Coordinates the flow of information through the admissions process and forwards to appropriate departments for the successful completion of admission.
• Collect and record all information necessary for admitting patients.
• Immediately notifies appropriate rehab liaison to perform a clinical evaluation.
• Completes Insurance Verification Form with benefit and billing information.
• Pre- Admit all patients into appropriate EMR/Billing system - obtain correct general information.
• Contact patient's insurance to confirm and determine amount of coverage and benefits, deductible due, length of stay and if pre-certification is required.
• Obtain Pre-certification for inpatient rehabilitation stay and document necessary information for case management to follow up once patient admits.
• Answers telephone promptly and courteously, providing information and completing all referral/intake forms as appropriate for each call.
• Notifies appropriate departments of patient's anticipated admission date/time.
• Inputs new referrals into EMR for clinical liaison to complete Pre-admission screen
• Informs the patient of their verified insurance benefits and refers them to the appropriate finance department for further billing questions.
• Creates working patient files to track progress of patient's admission
• Maintains confidentiality of patient medical records information in accordance with hospital's defined policies and procedures.
• Completes admitting paperwork, obtaining appropriate signatures, reviews information with the patient and family, obtain patient identification and insurance cards for copy.
• Coordinates denial information with liaisons for follow-up communication to referral sources, families and physicians.
• Backup for liaison communication and referral tracking
• Must be cooperative and have the desire to be a team player.
• Must recognize and observe confidentiality principles.
• Consistently demonstrates the ability to organize tasks in order of priority.
• Consistently performs job duties in an independent manner with minimal direct supervision required.
• Performs other duties as requested by authorized personnel or as necessary for effective operation of the facility, including emergency situations.
• Follow the step by step procedure outlined by Admissions Coordinator when receiving referrals.
• Processes referrals and coordinates admissions of all patients in an efficient, responsive manner.
• Maintains up-to-date statistical data in computer information system within established time frames.
• Ensures completion of all referral documentation and maintains filing systems.
• Maintains, posts, and distributes an accurate census and referral information to administration hospital staff on a daily basis.
• Maintains systems and processes for timely data-entry of pre-admit, admission, and registration of information for inpatients and outpatient.
• Compiles and distributes weekly admissions/discharges list. Monitors pending list daily.
• Recognizes problems and assumes responsibility for helping to solve them when they occur.
• Seeks supervisory help appropriate in problem solving and assists in implementing solutions.
• Ensures patients have a good understanding of their insurance benefits and answers questions as needed.

Education : High School Diploma required. Some college preferred.

Qualifications: Minimum of 2 years' experience in Admitting and/or medical insurance preferred

Experience in handling patient admissions preferred.

Knowledge of insurance and their benefits and admitting forms.

Proficiency in recording admission reservations

EEOC Statement:

Ascension Saint Thomas Rehabilitation Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.