Patient Access Rep

Through patient interviews and using the EMR, this position will capture Critical Data Elements (CDE’s) to ensure program’s ability to meet identified needs and facilitate admission into treatment.  This non-clinical healthcare professional is responsible for obtaining accurate patient registration information, including but not limited to demographic and financial information, while working in a fast-paced, clinical environment. 

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

1.    Accurately obtains and processes patient demographic, insurance, and medical information.  Correctly identifies and registers patient into the Master Patient Index.  Acts appropriately on Real Time Insurance eligibility messages, including adding, removing, correcting and terminating coverages.  Maintains empathy and professionalism during registration interviews and while providing patient with the necessary regulatory information.

2.    Identifies insurance verification issues and takes necessary steps to resolve them and/or inform patients of options

3.    Courteously and professionally answers and returns admission-related calls and completes the EPIC encounter, to include gathering sufficient history of substance use and obtaining insurance policy details. Provides warm and friendly greeting to patients and their families/visitors. 

4.    Consults with the Pathways Patient Treatment Advocate regarding bed availability and maintains a working knowledge of the treatment wait list.

5.    Schedules appropriate Pathways appointments in a timely manner based on American Society of Addiction Medicine (ASAM) criteria.

6.    Demonstrated ability to apply technical knowledge in multiple systems, including but not limited to EMR-based applications, administrative applications and necessary online applications.

7.    Manages assigned EPIC work Queues.

8.    Independently prioritizes PAR workflow to meet standards for performance and productivity within department deadlines.  Maintains a thorough understanding of downtime procedures and effectively demonstrates the ability to perform job functions during such conditions.

9.    Assists with the training and orientation of new staff, as needed, and under the direction of the BH Admissions Manager.

10. Clearly and professionally communicates to internal and external customers including (but not limited to), referral sources, clinical staff, coworkers, and administration.  Works collaboratively with and under the direction of the charge nurse.

 McNew Essential Job Duties:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

1. Accurately obtains and processes patient demographic, insurance, and medical information.  Correctly identifies and registers patient into the Master Patient Index.  Acts appropriately on Real Time Insurance eligibility messages, including adding, removing, correcting, and terminating coverages. Provides patients with the necessary regulatory information.