* Demonstrates advanced degree of proficiency in computer skills and Microsoft applications; includes navigation of web-based or system applications required for Patient Access Services.

* Utilizes person search methodology and correct process for system data entry of required clinical, demographic, and insurance information to the electronic medical record.

* Provides detailed explanation of scheduled procedures or patient instructions associated to medical procedures.

* Complies with system documentation requirements specific to the patient visit to ensure data entry reflects activities related to patient or provider contact, order documentation, insurance, and financial education/payment.

* Provides explanation of legal forms, securing valid signature of patient/authorized party as required for services.

* Demonstrates ability to explain compliance standards required within a healthcare environment including EMTALA and HIPAA-Privacy Patient Confidentiality regulations.

* Demonstrates ability to identify and select appropriate insurance carrier in the patient medical record for specified dates of medical services.

* Demonstrates knowledge of web-based or system applications to initiate and document insurance eligibility, benefit details, authorization requirements.

* Performs required notifications to ensure insurance authorization for identified medical services including surgical/special interventional procedures and inpatient/observation stays is secured and documented.

* Demonstrates advanced knowledge of CPT, ICD10 coding, and physician order documentation as required for medical services including determinations for medical necessity.

* Demonstrates expert knowledge of regulatory or Third Party Payer insurance requirements including Medicare, AHCCCS/Medicaid, Workers Comp and other commercial payers .

* Educates the patient on insurance eligibility, coverage, procedure costs, alternate resources for financial assistance, and payment arrangement guidelines.

* Ability to identify and collect patient financial liabilities and performs secured payment entry and deposit/cash reconciliation steps.

* Navigates web based products to initiate, document, and provide charge estimation for Inpatient/Observation stays, surgical/special interventional procedures or service categories based on patient requests or financial counseling needs.

* Demonstrates ability to resolve issues related to scheduling, registration or the financial assistance application approval process.

* On behalf of the patient, contacts providers, insurance representatives, or outside agencies such as Arizona Department of Economic Security to initiate and monitor success of AHCCCS application process.

* Monitors system work lists to provide necessary financial counseling follow up for private pay patients in the Emergency Department and Inpatient/Observation settings; ensures patient account is updated to reflect new payer source(s).

* Assists Supervisor/Manager in review and analysis of Revenue Cycle reports or system work lists for encounter audits; determines performance levels and accuracy of information collected during registration/scheduling by staff member.

* Demonstrates ability to train staff on all Patient Access essential job functions and work flow processes as assigned.

* Assists Supervisor/Manager in identifying continued education needs of staff to improve performance levels; assists in development of training materials, job aids, or staff meeting presentations.

* Acts as an expert resource to clinical departments for registration/scheduled services related to data entry of patient account fields, provider order requirements, and questions regarding insurance coverage or financial assistance.

* Assists Supervisor/Manager in completing departmental operational reports; provides feedback on identified deficiencies and recommends and well as supports implementation of action plans for improvement.

* Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner.

* Stays current and complies with state and federal regulations/statutes and company policies that impact the employee's area of responsibility.

* If required for the position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates.

* Completes all company mandatory modules and required job-specific training in the specified time frame.