Patient Access Representative

• Complete the financial clearance process within Patient Access Services
• Create a positive first impression of WTH’s services for patients, families, and external customers
• Explain financial responsibilities and healthcare service expectations to patients, guarantors, and family members
• Collect and document patient information
• Complete pre-registration, registration, insurance verification, benefits verification, certification, referral management, patient liability collections, and medical necessity checks
• Interview patients and guarantors for financial counseling screening
• Verify eligibility and benefit levels
• Coordinate referrals and obtain treatment authorizations
• Collaborate with medical staff, nursing, ancillary departments, insurance payers, and external sources
• Maintain daily work queues and correspondence according to department policies
• Assign correct insurance payer plans and billing addresses in the automated patient accounting system
• Verify group and ID numbers
• Inform families about financial assistance programs
• Perform financial screening and refer accounts for counseling or eligibility assessments
• Contact payers for approvals when referrals or authorizations are missing
• Advise leadership about possible postponement or deferral of unapproved elective admissions
• Maintain accurate pre-processing files
• Investigate, resolve, and document patient problems

Patient Access Representative jobs in Tennessee

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