ASC Patient Access Representative

Honolulu, HI

 

 

ASC Patient Access Representative

 

 

Job Code

FLSA Status

Non-Exempt

Dept Business Office / Admin

Reports to Assistant Administrator

 

POSITION SUMMARY

Under the direction of the Assistant Administrator, greets and checks patients in and out of the ambulatory surgery center (ASC), manages telephone communications, prepares patient charts, explains financial policies, collects patient payments, and issues receipts. Verifies patient demographic, insurance, and authorization information in registration and electronic health record (EHR) systems. Assists with the maintenance, filing, retrieval, auditing, and storage of medical records to ensure accuracy, completeness, and compliance with accreditation standards and applicable regulations. Maintains exceptional customer service and performs duties in accordance with established performance standards.

 

QUALIFICATION REQUIREMENTS

Minimum Education / Training / Licensure / Certifications

  • High school diploma or equivalent.

Minimum Experience

  • One (1) year of clerical experience in a medical office, clinic or other healthcare setting.
  • Basic knowledge of medical terminology.
  • Basic computer and data entry skills.
  • Familiarity with medical records and healthcare office processes.
  • N/A

Preferred Education / Training / Licensure / Certifications

Preferred Experience

·         Two (2) years of experience in a medical office, clinic, ambulatory surgery center, or other healthcare setting.

·         One (1) year of experience in patient registration, scheduling, medical records, or patient access functions.

·         Experience using electronic health record (EHR) and patient registration systems.

  • Experience verifying insurance eligibility, obtaining authorizations, or collecting patient payments.
  • Ability to provide exceptional customer service and promote positive patient relations.
  • Ability to organize, prioritize, and manage multiple tasks in a fast-paced environment.
  • Ability to maintain confidential and sensitive information.
  • Ability to read, write, speak, and understand English.
  • Ability to maintain accurate records, logs, and filing systems.
  • Ability to establish effective working relationships with patients, physicians, teammates, and other customers.
  • Ability to type 35-45 words per minute.
  • Knowledge of medical terminology, medical records management, and standard office procedures.
  • Knowledge of professional telephone etiquette.
  • Proficiency in personal computers, electronic health record (EHR) systems, and data entry.
  • Strong verbal and written communication skills.

Knowledge, Skills and Abilities

Working Conditions / Environment

  • May be exposed to infections and contagious diseases.
  • Requires frequent interaction with patients, teammates, administrative personnel, and physicians.
  • Work is performed in a busy office environment.

Physical / Mental / Special Demands

 

Demand

Percent of Day

Infrequent (1-2%)

Occasional (3-33%)

Frequent (34-66%)

Constant (67-100%)

Sit

 

 

 

X

 

Stand

 

 

 

X

 

Walk

 

 

 

X

 

Lifting

30 lbs.

 

X

 

 

Carrying

30 lbs.

 

X

 

 

Pushing

30 lbs.

 

X

 

 

Pulling

30 lbs.

 

X

 

 

Kneeling

 

 

X

 

 

Squatting

 

 

X

 

 

Bending

 

 

X

 

 

Stooping

 

 

X

 

 

Climbing

 

 

X

 

 

Twisting

X

 

 

 

 

Reaching over head

X

 

 

 

 

Foot controls

 

 

X

 

 

Fine dexterity

 

 

 

X

 

Repetitive work - hands/arms

 

 

 

X

 

Repetitive work - foot/leg

 

 

X

 

 

Required Protective Equipment

  •  N/A

Patient Care Services:   N/A

Provides patient care to specific population of patients: (check all that apply below)

Age of Patients Served

Population

Provides Care

Infant (1 day–12 months)

 

Pediatric (1 yrs–12 yrs)

 

Adolescent (13 yrs– 17yrs)

 

Adult (18 yrs – 65 yrs)

 

Geriatric (65 years plus)

 

N/A

 X

Description of OSHA Categories:

Category I: Tasks involve exposure to blood, body fluids, or tissue.

Category II: Tasks involve no exposure to blood, body fluids, or tissues, but employment may require performing unplanned Category I tasks.

Category III: Tasks that involve no exposure to blood, body fluids, or tissue, and Category I tasks are not a condition of employment.

OSHA Category:   Category III

 

POSITION ACCOUNTABILITIES

Essential Functions

  • Greets patients and visitors, checks patients in and out of the ASC, and monitors patient flow to support customer service standards.
  • Participates in quality improvement initiatives and supports departmental and organizational objectives.

2.    Registers patients by verifying demographic, identification, insurance, and account information; updates registration and EHR systems as appropriate.

3.    Explains registration, consent, financial, and facility-required forms and obtains required signatures in accordance with established policies and procedures.

4.    Collects, posts, and reconciles patient co-payments, deductibles, and balances due, and issues receipts in accordance with payment handling procedures.

5.    Verifies patient identification and insurance information to support accurate authorization, registration, and billing processes.

6.    Prepares patient charts and supporting documentation, ensuring all required records are complete, accurate, and properly filed.

7.    Coordinates pre-operative registration activities, required laboratory documentation, procedure-related paperwork, and communication with physician offices as needed.

8.    Answers, screens, routes, and responds to telephone calls in a professional and courteous manner.

9.    Processes subpoenas, court orders, and requests for patient information in compliance with applicable policies, procedures, regulations, and statutes.

10.  Copies, scans, files, retrieves, stores, and audits medical records to ensure completeness, accessibility, and regulatory compliance.

11.  Demonstrates sensitivity to patient needs and promotes a positive patient experience.

12.   Maintains effective communication and professional working relationships with patients, physicians, teammates, and other customers.

Organizational Responsibilities

  • Understands and models Surgicare of Hawaii's mission, vision, and values.
  • Reviews department operations manual to ensure compliance with applicable Accreditation standards, federal and state regulations, accepted Standards of Conduct, and the Corporate Compliance Program. Complies with all Surgicare of Hawaii policies, procedures, employee handbook, and Standards of Conduct.
  • Practices effective communication and interpersonal skills to enhance positive teamwork and to accomplish goals/tasks.
  • Promotes excellence in customer and patient relations with all encounters.
  • Adheres to safety policies and maintains a clean and safe environment for patients and co-workers.
  • Participates in departmental and organizational quality improvement efforts.

Other Functions

  1. Enhances professional growth and development through participation in educational programs, review of current literature, in-service meetings, and workshops.
  2. Strives to provide continuous improvement.
  3. Performs other related duties as assigned or requested.