Cape Cod Healthcare
Lead Patient Access Representative
Cape Cod Healthcare, Oklahoma City, Oklahoma, United States
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Lead Patient Access Representative
role at
Cape Cod Healthcare .
Responsibilities
Acts as a resource for Patient Access representatives when questions or problems arise.
Ensures effective daily department operations and participates in the staffing process to maintain adequate staffing in all registration areas.
Assists the department manager with training and orienting new employees.
Provides patient receipts and posts payment information into the financial system.
Interviews patients and/or patient representatives to obtain required information for completing the registration process in the hospital information system, maintaining the accuracy, confidentiality, and integrity of the automated database.
Coordinates and communicates accurate and updated registration, admission, and pre‑admission activities with Medical Records, Care/Case Management, Utilization Management, physicians’ offices, patient accounts, and other hospital departments to support appropriate, safe, and effective patient care.
Initiates and maintains organized files and records related to orders, payer authorizations, booking slips, schedules, and others per department procedures.
Contacts patients, employers, insurers, and patient representatives to obtain insurance and other information necessary to secure hospital reimbursement, verifies benefits, and pre‑certifies all insurance plans to ensure maximum reimbursement to the hospital.
Uses insurance verification systems to verify benefits and obtains referrals and authorizations required, documenting the complete information along with approved bed status, if applicable, in the computer system.
Maintains a thorough knowledge of departmental policies and procedures to ensure maximum reimbursement to the hospital.
Attends departmental and other meetings as requested by the immediate supervisor.
Ensures timely placement of patients in the most effective and appropriate manner, processing admissions, discharges, and transfers of all hospital patients per department procedures.
Explains and processes payments from patients, including co‑pays, co‑insurance, and deductibles.
Follows department procedures related to securing payment information and reconciling daily receipts.
Provides information to patients and/or representatives on Health Care Proxy, Advanced Beneficiary Notice, Important Medicare Message (IMM) forms, financial issues, and refers to the Financial Counselor if appropriate, obtaining completed forms as available.
Performs other work-related duties and activities as assigned or requested by the manager/supervisor.
Qualifications
Minimum of 3 years experience in Patient Registration/Patient Access, with proven competency in Emergency Center registration, Referred Outpatient registration, Admitting and Surgical Day Care registration.
Ability to read, write, and communicate in English at a high school level.
Typing speed of at least 30 words per minute, demonstrated by a timed test.
Successful completion of a Medical Terminology course or a Medical Terminology challenge exam.
Ability to work independently and under pressure.
Strong leadership, organizational, communication, and problem‑solving skills.
Ability to triage work to achieve maximum productivity and efficiency.
Ability to maintain harmonious and cooperative relations with fellow employees, medical staff, patients, and guests, serving effectively as part of the departmental team.
Purpose of Position To obtain accurate and complete patient information and payer verification in a customer‑focused manner, to ensure expedient care and accurate billing. Serves as a facilitator/resource person to ensure effective daily department operations.
Schedule Details 40 hours per week, rotating evenings/nights (7 p.m.–3 a.m.), every other weekend, and rotating holidays.
Work Information
Seniority level: Mid‑Senior level
Employment type: Part‑time
Job function: Health Care Provider
Industries: Hospitals and Health Care
Organization Cape Cod Hospital
Primary Location Massachusetts – Hyannis
Department Patient Access (CCH Patient Access)
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Lead Patient Access Representative
role at
Cape Cod Healthcare .
Responsibilities
Acts as a resource for Patient Access representatives when questions or problems arise.
Ensures effective daily department operations and participates in the staffing process to maintain adequate staffing in all registration areas.
Assists the department manager with training and orienting new employees.
Provides patient receipts and posts payment information into the financial system.
Interviews patients and/or patient representatives to obtain required information for completing the registration process in the hospital information system, maintaining the accuracy, confidentiality, and integrity of the automated database.
Coordinates and communicates accurate and updated registration, admission, and pre‑admission activities with Medical Records, Care/Case Management, Utilization Management, physicians’ offices, patient accounts, and other hospital departments to support appropriate, safe, and effective patient care.
Initiates and maintains organized files and records related to orders, payer authorizations, booking slips, schedules, and others per department procedures.
Contacts patients, employers, insurers, and patient representatives to obtain insurance and other information necessary to secure hospital reimbursement, verifies benefits, and pre‑certifies all insurance plans to ensure maximum reimbursement to the hospital.
Uses insurance verification systems to verify benefits and obtains referrals and authorizations required, documenting the complete information along with approved bed status, if applicable, in the computer system.
Maintains a thorough knowledge of departmental policies and procedures to ensure maximum reimbursement to the hospital.
Attends departmental and other meetings as requested by the immediate supervisor.
Ensures timely placement of patients in the most effective and appropriate manner, processing admissions, discharges, and transfers of all hospital patients per department procedures.
Explains and processes payments from patients, including co‑pays, co‑insurance, and deductibles.
Follows department procedures related to securing payment information and reconciling daily receipts.
Provides information to patients and/or representatives on Health Care Proxy, Advanced Beneficiary Notice, Important Medicare Message (IMM) forms, financial issues, and refers to the Financial Counselor if appropriate, obtaining completed forms as available.
Performs other work-related duties and activities as assigned or requested by the manager/supervisor.
Qualifications
Minimum of 3 years experience in Patient Registration/Patient Access, with proven competency in Emergency Center registration, Referred Outpatient registration, Admitting and Surgical Day Care registration.
Ability to read, write, and communicate in English at a high school level.
Typing speed of at least 30 words per minute, demonstrated by a timed test.
Successful completion of a Medical Terminology course or a Medical Terminology challenge exam.
Ability to work independently and under pressure.
Strong leadership, organizational, communication, and problem‑solving skills.
Ability to triage work to achieve maximum productivity and efficiency.
Ability to maintain harmonious and cooperative relations with fellow employees, medical staff, patients, and guests, serving effectively as part of the departmental team.
Purpose of Position To obtain accurate and complete patient information and payer verification in a customer‑focused manner, to ensure expedient care and accurate billing. Serves as a facilitator/resource person to ensure effective daily department operations.
Schedule Details 40 hours per week, rotating evenings/nights (7 p.m.–3 a.m.), every other weekend, and rotating holidays.
Work Information
Seniority level: Mid‑Senior level
Employment type: Part‑time
Job function: Health Care Provider
Industries: Hospitals and Health Care
Organization Cape Cod Hospital
Primary Location Massachusetts – Hyannis
Department Patient Access (CCH Patient Access)
#J-18808-Ljbffr