Patient Representative acts as a liaison between patients, families, and the healthcare organization to support patient-centric care delivery. Communicates patients' questions, concerns, and issues to appropriate staff members, follows up, and facilitates solutions as needed. Being a Patient Representative explains policies, procedures, rights, and applicable regulations to patients and provides informational resources about available services. Working with multi-disciplinary teams may make recommendations for improvements to the patient experience. Additionally, Patient Representative may participate in discharge processes or administer patient satisfaction surveys. Follows all applicable regulations regarding patient information privacy policies. Requires a high school diploma. Typically reports to a supervisor. The Patient Representative works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Patient Representative typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
GENERAL SUMMARY |
Provides positive patient encounter as first impression of the hospital. Ensures currency of medical, demographic, insurance, and financial information through interviews and verification of insurance benefits. Uses ACMC systems/applications to capture and communicate data to Health Information systems, patient care departments, and Patient Financial Services for billing. Accurately identifies patients and obtains consent signatures required for clinical treatment. Enters appropriate diagnosis, procedure, and physician information for medical record. Communicates with insurance companies and physicians regarding coverage and authorization requirements. Uses on-line, web based, and telecommunication verification systems to ensure accuracy and to expedite payment. Collects co-pays and deductibles. Ensures compliance with local, state, federal, third party EMTALA, and JCAHO regulations. Performs all ADT functions necessary to facilitate effective utilization of beds.
MINIMUM QUALIFICATION |
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