Dallas Behavioral Healthcare Hospital
Patient Access Representative
Dallas Behavioral Healthcare Hospital, Desoto, Texas, United States, 75115
We are searching for a Patient Access Representative to generate clean bills for primary, secondary and tertiary payers, maximize upfront collections, minimize exposure of accounts at risk, ensure clean account receivable balances, maximize self‑pay collections, and effectively manage the interdepartmental workflow within the revenue cycle.
Responsibilities
Ensures patients and relatives are interviewed to obtain necessary personal and financial information needed for admission/registration of the patient
Verifies insurance benefits of the patient and fully documents the verification process in the system
Performs all admitting/registration activities to ensure that complete and accurate information is entered into the system in a timely manner
Implements policies and procedures for admission/registration of all patients
Ensures that eligibility is re‑verified when applicable (e.g., Medicare and Medi‑Cal patients)
Ensures that daily census is accurate, in both paper and system formats and includes patient location and program type codes
Completes all required forms for admission/registration of a patient and ensures that all required documentation is given to the patient and/or patient’s family
Enters complete and accurate documentation into the system describing all patient‑related admitting/registration activities
Ensures that all patients have been given full information related to their estimated financial responsibilities to the hospital
Ensures that estimated out‑of‑pocket requirements have been appropriately calculated and entered into the system
Collects the estimated out‑of‑pocket requirements prior to the patient’s discharge
Fully documents all collection efforts into the system
Reviews the out‑of‑pocket yield report daily to ensure that collection efforts meet the hospital‑specific target for upfront collections
For situations of financial difficulties, ensures that patients are given applicable information related to payment options, such as the healthcare credit line, time payments and information related to the hospital’s financial assistance processes and that these arrangements are finalized prior to the patient’s discharge
Monitors eligible days/visits and disseminates relevant information to clinical staff, MDs, other Revenue Cycle related departments and Administration in a timely manner
Ensures full communication is given to patients of eligible days/visits and “At‑Risk” notification is given to patients or the patient’s guarantor in writing when applicable in a timely manner
Monitors all information related to actual denial activity and disseminates relevant information to clinical staff, MDs, other Revenue Cycle related departments and Administration
Prepares requests for adjustments, refunds, transfers when needed to accurately reflect appropriate AR balances and submits for approval
Fully documents all transaction requests into the system
Monitors all self‑pay accounts to ensure patients have been quoted applicable self‑pay rates and that accounts are appropriately contractualized to the self‑pay rate
Monitors all self‑pay balances of patients on time‑payment plans to verify compliance with the program and contacts the patient if non‑compliance occurs to bring the account current
Ensures all collection activities are in compliance with State and Federal collection laws
Demonstrates understanding of the various "Self Pay" account classifications and their applicable patient statement processes
Reviews all self‑pay balances with credit balances to ensure the balance is accurate and processes all refunds (both by check and credit card) for approval in a timely manner
Works effectively with Assessment & Referral staff to maximize all pre‑admission activities
Works effectively with Case Management staff to minimize the potential for clinical denials
Works effectively with the Centralized Business Office to maximize the overall collection efforts of the hospital
Requirements
Education: High School degree or equivalent required; Bachelor's degree preferred
Licenses: None required
Experience: Three to five years in admitting and/or financial counseling preferred
Knowledge, Skills & Abilities
Must have basic PC skills, including Windows operating system and Microsoft Outlook, Word and Excel
Has knowledge of governmental and managed care payer requirements
Demonstrates understanding of the various "Self Pay" account classifications and their applicable patient statement processes
Understands the data elements required to generate a clean bill
Understands the importance of maintaining confidentiality and can maintain confidentiality under HIPAA standards
Must have the ability to exercise a high degree of diplomacy and tact; excellent customer service and interpersonal communication skills; cultural sensitivity and demonstrated ability to work with diverse people groups
Well developed verbal and written communication skills in English; additional language abilities desirable
Knowledge of basic math and modern office procedures
Ability to work well under pressure with minimal supervision
Ability to remain seated at a switchboard for long periods of time without significant discomfort or distress
Ability to effectively interact with persons of widely diverse roles, backgrounds, cultures, and socio‑economic classes, including those in crises or resistant or negative toward the organization
Must successfully pass background check, drug screen, physical and provide positive employment references
Physical Demands With or without reasonable accommodations, must be able to stoop, kneel, crouch, reach, stand for sustained periods of time, walk, pull, lift, raise and move objects from position to position (up to 50 lbs), use finger dexterity for typing and data entry, hold hands steady on keyboard, sit with erect posture, read forms/computer screens, communicate verbally over the phone, and perform repetitive motions of the wrist, hands, or fingers. Must visually detect, determine, perceive, identify, recognize, judge, observe, inspect, assess; perceive the nature of sound with or without correction; express or exchange ideas orally, potentially loudly, accurately or quickly.
Benefits Full‑time employees are eligible for medical, dental, vision, company‑paid disability, 401(k) and a generous amount of paid time off.
Equal Employment Opportunity Statement Dallas Behavioral Healthcare Hospital is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.
Seniority level Mid‑Senior level
Employment type Full‑time
Job function Finance
Industries IT Services and IT Consulting
Get notified about new Patient Access Representative jobs in DeSoto, TX.
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Responsibilities
Ensures patients and relatives are interviewed to obtain necessary personal and financial information needed for admission/registration of the patient
Verifies insurance benefits of the patient and fully documents the verification process in the system
Performs all admitting/registration activities to ensure that complete and accurate information is entered into the system in a timely manner
Implements policies and procedures for admission/registration of all patients
Ensures that eligibility is re‑verified when applicable (e.g., Medicare and Medi‑Cal patients)
Ensures that daily census is accurate, in both paper and system formats and includes patient location and program type codes
Completes all required forms for admission/registration of a patient and ensures that all required documentation is given to the patient and/or patient’s family
Enters complete and accurate documentation into the system describing all patient‑related admitting/registration activities
Ensures that all patients have been given full information related to their estimated financial responsibilities to the hospital
Ensures that estimated out‑of‑pocket requirements have been appropriately calculated and entered into the system
Collects the estimated out‑of‑pocket requirements prior to the patient’s discharge
Fully documents all collection efforts into the system
Reviews the out‑of‑pocket yield report daily to ensure that collection efforts meet the hospital‑specific target for upfront collections
For situations of financial difficulties, ensures that patients are given applicable information related to payment options, such as the healthcare credit line, time payments and information related to the hospital’s financial assistance processes and that these arrangements are finalized prior to the patient’s discharge
Monitors eligible days/visits and disseminates relevant information to clinical staff, MDs, other Revenue Cycle related departments and Administration in a timely manner
Ensures full communication is given to patients of eligible days/visits and “At‑Risk” notification is given to patients or the patient’s guarantor in writing when applicable in a timely manner
Monitors all information related to actual denial activity and disseminates relevant information to clinical staff, MDs, other Revenue Cycle related departments and Administration
Prepares requests for adjustments, refunds, transfers when needed to accurately reflect appropriate AR balances and submits for approval
Fully documents all transaction requests into the system
Monitors all self‑pay accounts to ensure patients have been quoted applicable self‑pay rates and that accounts are appropriately contractualized to the self‑pay rate
Monitors all self‑pay balances of patients on time‑payment plans to verify compliance with the program and contacts the patient if non‑compliance occurs to bring the account current
Ensures all collection activities are in compliance with State and Federal collection laws
Demonstrates understanding of the various "Self Pay" account classifications and their applicable patient statement processes
Reviews all self‑pay balances with credit balances to ensure the balance is accurate and processes all refunds (both by check and credit card) for approval in a timely manner
Works effectively with Assessment & Referral staff to maximize all pre‑admission activities
Works effectively with Case Management staff to minimize the potential for clinical denials
Works effectively with the Centralized Business Office to maximize the overall collection efforts of the hospital
Requirements
Education: High School degree or equivalent required; Bachelor's degree preferred
Licenses: None required
Experience: Three to five years in admitting and/or financial counseling preferred
Knowledge, Skills & Abilities
Must have basic PC skills, including Windows operating system and Microsoft Outlook, Word and Excel
Has knowledge of governmental and managed care payer requirements
Demonstrates understanding of the various "Self Pay" account classifications and their applicable patient statement processes
Understands the data elements required to generate a clean bill
Understands the importance of maintaining confidentiality and can maintain confidentiality under HIPAA standards
Must have the ability to exercise a high degree of diplomacy and tact; excellent customer service and interpersonal communication skills; cultural sensitivity and demonstrated ability to work with diverse people groups
Well developed verbal and written communication skills in English; additional language abilities desirable
Knowledge of basic math and modern office procedures
Ability to work well under pressure with minimal supervision
Ability to remain seated at a switchboard for long periods of time without significant discomfort or distress
Ability to effectively interact with persons of widely diverse roles, backgrounds, cultures, and socio‑economic classes, including those in crises or resistant or negative toward the organization
Must successfully pass background check, drug screen, physical and provide positive employment references
Physical Demands With or without reasonable accommodations, must be able to stoop, kneel, crouch, reach, stand for sustained periods of time, walk, pull, lift, raise and move objects from position to position (up to 50 lbs), use finger dexterity for typing and data entry, hold hands steady on keyboard, sit with erect posture, read forms/computer screens, communicate verbally over the phone, and perform repetitive motions of the wrist, hands, or fingers. Must visually detect, determine, perceive, identify, recognize, judge, observe, inspect, assess; perceive the nature of sound with or without correction; express or exchange ideas orally, potentially loudly, accurately or quickly.
Benefits Full‑time employees are eligible for medical, dental, vision, company‑paid disability, 401(k) and a generous amount of paid time off.
Equal Employment Opportunity Statement Dallas Behavioral Healthcare Hospital is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.
Seniority level Mid‑Senior level
Employment type Full‑time
Job function Finance
Industries IT Services and IT Consulting
Get notified about new Patient Access Representative jobs in DeSoto, TX.
#J-18808-Ljbffr