Patient Access Representative - St. Elizabeth, Ascension (PRN)
Company: R1 RCM
Posted on: May 22, 2020
Shift: PRN (as needed) position to work in the ED. Must have
open availability to work 1st, 2nd, and 3rd shift. Days& Hours will
vary depending on coverage needs. Position is as needed with no set
days or hours.
R1 is a leading provider of technology-enabled revenue cycle
management services which transform and solve challenges across
health systems, hospitals and physician practices. Headquartered in
Chicago, R1 is publicly-traded organization with employees
throughout the US and international locations.
Our mission is to be the one trusted partner to manage revenue, so
providers and patients can focus on what matters most. Our priority
is to always do what is best for our clients, patient's and each
other. With our proven and scalable operating model, we complement
a healthcare organization's infrastructure, quickly driving
sustainable improvements to net patient revenue and cash flows
while reducing operating costs and enhancing the patient
The Patient Access Representative will be responsible for
mitigating the financial risks to our hospital clients. To do this
this position is responsible for contacting patients directly
and/or using alternative means to secure patient's information such
as demographics, insurance/coverage and clinical information needed
to determine patient's eligibility, coverage, and insurance
limitations. Patient Access Insurance Specialist will use
analytical skills to make decisions and explain coverage details so
that patients completely understand what their financial
responsibility will be. Associates in this role are empowered to
identify additional resources and refer patients who might have
difficulty meeting their financial responsibilities. Success in
this role is measured with the use of weekly productivity
- Initiates contact with client hospital patients via telephone
using appropriate scripting to ensure the required level of benefit
and pre-certification/authorization details such as demographics,
insurance/ coverage and clinical information are obtained.
- Complete appropriate electronic forms with detailed benefit and
pre-certification/ authorization information to ensure a clean
- Identifies inaccurate plan codes and corrects in the hospital's
- Work directly with multiple insurance websites to obtain
benefits and authorization validation.
- Adheres to the guidelines set forth in the Health Insurance
Portability and Accountability Act (HIPAA), designed to prevent or
detect unauthorized disclosure of Protected Health Information
- High School diploma or equivalent.
- At least one (1) year of similar experience (patient-facing,
- Excellent customer service skills exhibiting good oral and
written communication skills.
- Ability to type fast and accurately.
- Must be able to communicate effectively and professionally to
our patients and physician offices.
- Basic Word/Excel
- Medical Terminology
- Coding/Billing experience
- See, read, and/or operate computers, telephones, office
equipment, documents, labels, including manipulating paper
requiring the ability to move fingers and hands.
- Remain sitting, standing, or walking for long periods of time
to perform work on a computer, telephone, or other equipment.
- Frequent interactions with associates, patient care providers,
patients, and visitors that require associate to verbally
communicate as well as hear and understand spoken information,
alarms, needs, and issues quickly and accurately, particularly
during emergency situations.
- Manual dexterity of hands and fingers to manipulate complex and
delicate equipment with precision and accuracy. This includes
frequent computer use and typing for documenting patient care,
accessing needed information banding patients, etc.
- Need to walk and assist with transporting/ambulating patients
and obtaining and distributing supplies and equipment. This
includes pushing/pulling gurneys and portable equipment, including
heavy items (over 50 lbs.).
Working in an evolving healthcare setting, we use our shared
expertise to deliver innovative solutions. Our fast-growing team
has opportunities to learn and grow through rewarding interactions,
collaboration and the freedom to explore professional
Our associates are given valuable opportunities to contribute, to
innovate and create meaningful work that makes an impact in the
communities we serve around the world. We also offer a culture of
excellence that drives customer success and improves patient care.
We believe in giving back to the community and offer a competitive
benefits package. To learn more, visit: r1rcm.com
Keywords: R1 RCM, Appleton , Patient Access Representative - St. Elizabeth, Ascension (PRN), Other , Appleton, Wisconsin
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