Children's National Medical Center
Senior Patient Access Representative
Children's National Medical Center, Washington, District of Columbia, us, 20022
Senior Patient Access Representative (250002Q5)
Job Description
Overview Senior Patient Access Representative will report to the Patient Access Supervisor or Manager and provide patient services and administrative support in ancillary operations.
The role serves as a knowledge source for registration, assists in the daily process outcomes of the department, and supports the team with training and problem‑solving to enhance registration performance.
The Sr. Patient Access Rep will continue to develop staff and work with management to develop training programs, assist with compliance with the quality assurance program, and interact with parents, patients, physicians, and other staff under moderate supervision in a courteous manner.
Responsibilities
Ensure accuracy of scheduling patients using the applicable scheduling system for the department: schedule routine and add‑on exams; schedule complex radiological exams prior to the patient's arrival.
Complete computer‑aided, online registration screen with parent/guardian via telephone or in person in a professional & courteous manner.
Complete bedside registration based on assigned work space.
Collect accurate demographic and insurance information.
Update systems as needed in accordance with department standards for registration accuracy: bedside registration conducted for ED patients and for inpatients when appropriate.
Update scheduling systems with cancellations and no‑shows by COB.
Reschedule appointments for patients who did not show or for ancillary services cancellations by providers.
Schedule follow‑up appointments at check‑out.
Greet patients and parents courteously.
Arrive patients in the appropriate system based on department policy.
Obtain required consents for department & ensure distribution of compliance‑related materials (i.e., HIPAA Privacy Notice, Patient Rights). Obtain copy of insurance card and photo ID to be stored in the medical record (scan or copy activity required).
Ensure appropriate forms/documentation are sent to the HIM department.
Collect and record co‑payments, deposits and payments in full and provide payer with receipt.
Support the department in meeting 85% of the collection target.
Respond to patient portal work lists (appointment requests, fax queues, email requests, etc.).
May include messaging center work lists in the future.
Verify insurance eligibility using the applicable eligibility system.
Ensure managed care carve‑outs (lab and radiology carve‑outs) are adhered to, notify insurance companies or review agencies as required by contract, and document notification as defined by policy.
Advise leadership of any authorization issues at the time of check‑in: identify surgeries/diagnostic testing without authorizations; contact provider’s office or scheduling coordinator to address issue timely without delaying patient care.
Notify parents of the need for completed insurance referral form or pre‑authorization prior to scheduled/unscheduled appointment.
Discuss co‑payment, deposits, payment in full, or past‑due balance collections with parents in a professional & courteous manner.
Counsel parents or refer parent to Financial Information Center (FIC) to establish a payment schedule or method of payment.
Verify insurance information is complete prior to procedure, and collect and verify pre‑authorization/referral information: obtain authorizations 5 days in advance of service; interface with insurance companies as needed; document activity in “account notes” following standards set by the department; complete complex authorization process for IP services.
Utilize all systems where patient information may be to verify that systems are in sync.
Review and print department schedules, ensuring appropriateness of scheduled appointments and back‑fill open slots: for ancillary services ensure all applicable orders/scripts/referrals are obtained prior to services being rendered.
Appropriately clear all walk‑ins and ensure scheduled appointments are linked to the scheduling system.
Retrieve department chart for existing patients and prepare chart for new patients.
Assign beds to patients in accordance with established criteria and availability; communicate bed assignments to sending and receiving units; contact AD Coordinator regarding transfers from other hospitals; process all admissions and transfer requests accurately and timely; notify insurance company of admission in a timely manner.
Discharge active recurring accounts for patients being admitted.
Follow policies and procedures for specialty discharges (i.e., WRTC).
Reconcile charge capture against schedules.
Maintain departmental requirements regarding cash controls and collections.
Reconcile daily cash receipts/collections and submit to manager.
Ensure that quality registration work queues are addressed timely: activity should be completed 3‑4 days in advance of ancillary session; work standard may be 5‑7 days for areas with procedures requiring authorizations.
Provide input to manager about registration errors for ongoing training purposes: monitor & correct registration errors; monitor QA reports to identify training needs & ensure standards are met.
Work with manager to reduce registration and authorization denials.
Research and resolve missing charges.
Provide expertise to peers throughout the institution: train & mentor PAR staff (may conduct training sessions); give workflow guidance.
Answer telephone and address caller needs appropriately: avoid transferring calls for better service to families; meet department standards relative to ACD policies if applicable; manage voicemail messages within same business day.
Distribute mail.
May work returned mail as needed.
Check work e‑mail a minimum of 3 times daily and respond to inquiries within 24 hours (or next business day).
Maintain office files and office supplies at PAR levels.
Keep reception area and workspace clean.
Other support as needed.
Qualifications
Minimum Education:
High School Diploma or GED (Required)
Minimum Work Experience:
3 years related experience (Required)
Required Skills / Knowledge:
Broad knowledge in administrative processes, customer service skills; computer knowledge; Microsoft Office (Word & Excel) (preferred); Complete Patient Access training curriculum and pass all competency assessments; type minimum of 35 words per minute.
Additional Responsibilities:
Must be able to complete a minimum of one complex access function (Complex Scheduling, Bed Management, and Complex Mentorship).
Primary Location District of Columbia—Washington
Work Locations CN Hospital (Main Campus) 111 Michigan Avenue NW, Washington, DC 20010
Position Status R (Regular) – Full Time – Regular - Day shift (8 a‑4 p)
Full‑Time Salary Range $44,033.60 – $88,088
Equal Opportunity Employer
— Children's National Hospital evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender identity, or other characteristics protected by law. The "Know Your Rights" poster and pay transparency policy are available online. Children’s National maintains a drug‑free workplace policy in accordance with the Controlled Substances Act.
#J-18808-Ljbffr
Overview Senior Patient Access Representative will report to the Patient Access Supervisor or Manager and provide patient services and administrative support in ancillary operations.
The role serves as a knowledge source for registration, assists in the daily process outcomes of the department, and supports the team with training and problem‑solving to enhance registration performance.
The Sr. Patient Access Rep will continue to develop staff and work with management to develop training programs, assist with compliance with the quality assurance program, and interact with parents, patients, physicians, and other staff under moderate supervision in a courteous manner.
Responsibilities
Ensure accuracy of scheduling patients using the applicable scheduling system for the department: schedule routine and add‑on exams; schedule complex radiological exams prior to the patient's arrival.
Complete computer‑aided, online registration screen with parent/guardian via telephone or in person in a professional & courteous manner.
Complete bedside registration based on assigned work space.
Collect accurate demographic and insurance information.
Update systems as needed in accordance with department standards for registration accuracy: bedside registration conducted for ED patients and for inpatients when appropriate.
Update scheduling systems with cancellations and no‑shows by COB.
Reschedule appointments for patients who did not show or for ancillary services cancellations by providers.
Schedule follow‑up appointments at check‑out.
Greet patients and parents courteously.
Arrive patients in the appropriate system based on department policy.
Obtain required consents for department & ensure distribution of compliance‑related materials (i.e., HIPAA Privacy Notice, Patient Rights). Obtain copy of insurance card and photo ID to be stored in the medical record (scan or copy activity required).
Ensure appropriate forms/documentation are sent to the HIM department.
Collect and record co‑payments, deposits and payments in full and provide payer with receipt.
Support the department in meeting 85% of the collection target.
Respond to patient portal work lists (appointment requests, fax queues, email requests, etc.).
May include messaging center work lists in the future.
Verify insurance eligibility using the applicable eligibility system.
Ensure managed care carve‑outs (lab and radiology carve‑outs) are adhered to, notify insurance companies or review agencies as required by contract, and document notification as defined by policy.
Advise leadership of any authorization issues at the time of check‑in: identify surgeries/diagnostic testing without authorizations; contact provider’s office or scheduling coordinator to address issue timely without delaying patient care.
Notify parents of the need for completed insurance referral form or pre‑authorization prior to scheduled/unscheduled appointment.
Discuss co‑payment, deposits, payment in full, or past‑due balance collections with parents in a professional & courteous manner.
Counsel parents or refer parent to Financial Information Center (FIC) to establish a payment schedule or method of payment.
Verify insurance information is complete prior to procedure, and collect and verify pre‑authorization/referral information: obtain authorizations 5 days in advance of service; interface with insurance companies as needed; document activity in “account notes” following standards set by the department; complete complex authorization process for IP services.
Utilize all systems where patient information may be to verify that systems are in sync.
Review and print department schedules, ensuring appropriateness of scheduled appointments and back‑fill open slots: for ancillary services ensure all applicable orders/scripts/referrals are obtained prior to services being rendered.
Appropriately clear all walk‑ins and ensure scheduled appointments are linked to the scheduling system.
Retrieve department chart for existing patients and prepare chart for new patients.
Assign beds to patients in accordance with established criteria and availability; communicate bed assignments to sending and receiving units; contact AD Coordinator regarding transfers from other hospitals; process all admissions and transfer requests accurately and timely; notify insurance company of admission in a timely manner.
Discharge active recurring accounts for patients being admitted.
Follow policies and procedures for specialty discharges (i.e., WRTC).
Reconcile charge capture against schedules.
Maintain departmental requirements regarding cash controls and collections.
Reconcile daily cash receipts/collections and submit to manager.
Ensure that quality registration work queues are addressed timely: activity should be completed 3‑4 days in advance of ancillary session; work standard may be 5‑7 days for areas with procedures requiring authorizations.
Provide input to manager about registration errors for ongoing training purposes: monitor & correct registration errors; monitor QA reports to identify training needs & ensure standards are met.
Work with manager to reduce registration and authorization denials.
Research and resolve missing charges.
Provide expertise to peers throughout the institution: train & mentor PAR staff (may conduct training sessions); give workflow guidance.
Answer telephone and address caller needs appropriately: avoid transferring calls for better service to families; meet department standards relative to ACD policies if applicable; manage voicemail messages within same business day.
Distribute mail.
May work returned mail as needed.
Check work e‑mail a minimum of 3 times daily and respond to inquiries within 24 hours (or next business day).
Maintain office files and office supplies at PAR levels.
Keep reception area and workspace clean.
Other support as needed.
Qualifications
Minimum Education:
High School Diploma or GED (Required)
Minimum Work Experience:
3 years related experience (Required)
Required Skills / Knowledge:
Broad knowledge in administrative processes, customer service skills; computer knowledge; Microsoft Office (Word & Excel) (preferred); Complete Patient Access training curriculum and pass all competency assessments; type minimum of 35 words per minute.
Additional Responsibilities:
Must be able to complete a minimum of one complex access function (Complex Scheduling, Bed Management, and Complex Mentorship).
Primary Location District of Columbia—Washington
Work Locations CN Hospital (Main Campus) 111 Michigan Avenue NW, Washington, DC 20010
Position Status R (Regular) – Full Time – Regular - Day shift (8 a‑4 p)
Full‑Time Salary Range $44,033.60 – $88,088
Equal Opportunity Employer
— Children's National Hospital evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender identity, or other characteristics protected by law. The "Know Your Rights" poster and pay transparency policy are available online. Children’s National maintains a drug‑free workplace policy in accordance with the Controlled Substances Act.
#J-18808-Ljbffr