Patient Access Representative
Cleveland Clinic Abu Dhabi
Total years of experience :16 years, 9 Months
Duties and Responsibilities:
• Verifying scheduled appointments
• Patient registration/pre-registration
• Appointment scheduling/follow-up scheduling
• Financial Estimates for self-pay patients
• Always ensuring patient safety by positive identification including insurance card, identification card and photo ID
• Electronic and manual Insurance eligibility/verification
• Cash and credit card collection/reconcilliation, and making end-of-day financial report
• Determines the need for financial counseling and refers the patient to a Senior Financial Counselor as necessary
• Obtains signatures for all necessary documents
• Coordinates with transporters, patient experience (red coats) to direct patients to their specific location
• Works collaboratively with bed placement staff to ensure optimum bed control
Job Responsibilities:
* Greets patient and verifies scheduled appointments
* Registers patients both pre-scheduled and walk ins and collects and enters all information required for admission or check in into system
* Performs positive identification of patients including insurance card, identification card and photo ID
* Performs system insurance verification either real time electronic or manual verification for eligibility
* Checks and ensures financial liability is discussed and understood by the patient at point of registration
* Obtains signatures for all necessary documents (compliance and regulatory such as advanced directives, release of liability statements and other documents required to protect the company's interests as well as patient rights)
* Explains hospital regulations, such as visiting hours and payment of accounts to patients and their families
* Coordinates with transporters, patient experience to direct patients to their specific location
* Works collaboratively with bed placement staff to ensure optimum bed control
• Attracts potential customers by answering product and service questions; suggesting information about other products and services.
• Opens customer accounts by recording account information.
• Maintains customer records by updating account information.
• Resolves product or service problems by clarifying the customer's complaint; determining the cause of the problem; selecting and explaining the best solution to solve the problem; expediting correction or adjustment; following up to ensure resolution.
• Maintains financial accounts by processing customer adjustments.
• Recommends potential products or services to management by collecting customer information and analyzing customer needs.
• Prepares product or service reports by collecting and analyzing customer information.
• Contributes to team effort by accomplishing related results as needed.
Job Responsibilities:
• Coordinating, liaising and networking between insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements.
• Responsible for filing and tracking insurance claims and informing patients of their claims status.
• Process insurance and disability claims in a timely manner.
• Prepares insurance forms and associated correspondences.
• Entertains patients’ queries regarding unpaid balances.
• Liaise with patients regarding their eligibility and entitlements.
• Maintains strict confidentiality related to medical records and other data.
• Interacting With Computers - Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
• Communicating with Supervisors, Peers, or Subordinates - Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
• Getting Information - Observing, receiving, and otherwise obtaining information from all relevant sources.
• Updating and Using Relevant Knowledge - Keeping up-to-date technically and applying new knowledge to the job.
• Processing Information - Compiling, coding, categorizing, calculating, tabulating, auditing, or verifying information or data.
• Organizing, Planning, and Prioritizing Work - Developing specific goals and plans to prioritize, organize, and accomplish tasks.
• Documenting/Recording Information - Entering, transcribing, recording, storing, or maintaining written or electronic/magnetic form.
• Performing Administrative Activities - Performing day-to-day administrative tasks such as maintaining information files and processing paperwork.
• Communicating with Persons outside Organization - Communicating with people outside the organization, representing the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.
Job Description
1. Information Provider/Technical Support:
- Provides technical assistance through telephone, online chat and email correspondence to subscribers with their service related concerns. ( Internet, Cable, and telephone services)
- Answer questions regarding status of various accounts and attend to problems or complaints of customer on the telephone or by written correspondence.
- Responded to customer inquiries and requests and resolved issues efficiently and professionally.
- Troubleshoot products and services to best fit customers’ needs and expectations.
- Provide customer with correct procedures and steps on how to troubleshoot and restore internet connectivity and dial tone concerns.
- Middle liaison between the workers (technicians, and whoever supplies the products or services) and the customer.
2. Product Promotion and Sales/Biller:
- Educate customer about bill and provide option on how to settle payment.
- Process online payment for service subscription.
Post payments to the proper account.
- Increase the customer experience by providing information on new products, rate plans, and services through up selling opportunities.
- Validate customer’s order request for installation of services
Process online sales for new customer who are interested of subscribing to the services offered and for existing customer who wants to upgrade service subscription.
- Demonstrate best judgment in the disbursement of adjustments and credits.
- Market and plan strategically to increase sales and profit.
Plan and implement company policies and procedures.
- Promote and maintain good public relations with customers, attend to customer’s complaints and requests, and participate in services when necessary.
Job responsibilities:
1. Care specifically for patients who have undergone surgery or are preparing to undergo surgery.
2. Care for patients with acute health conditions which require some form of surgical intervention, such as a tracheotomy, feeding tube or IV unit.
3. Responsible for all the patient care performed in the assigned unit.
4. Sets up or contributes to the overall health care plans for their patients.
5. Observe all the patients and responsible to maintaining the records systematically.
6. Administering medications, checking dosages and taking patient history.
Job responsibilities:
1. Able to think and act quickly to assess and treat patients who suffer from a wide range of injuries or illnesses.
2. The first person to see and treat patients who needs immediate medical attention.
3. Provide initial assessments that are passed on to emergency room doctors and other physicians.
4. Ready for patients of any age with any condition.
5. Provide care and make accurate assessments in high-stress and possibly life-threatening situations.
6. Possess the emotional stability to cope with these conditions and remain calm and sympathetic when performing duties.
College: University of St. La Salle Bacolod City, Negros Occidental Year Graduated: 2006 Course: Bachelor of Science in Nursing Licensure/ Examination passed: Philippine Nurse Licensure Examination