Patient Access Representative - 1452021

Job Title: Patient Care Advocate
Department: Rehabilitation
Reports To: Director of Rehabilitation Services
Status: Full-Time Non-Exempt
Date: 09/08/2022

Job Summary:

Responsible for patient registration, admissions, and associated tasks, which include information collection and validation, and requisitioning of orders and services. Insurance-related tasks include verification and collection of associated paperwork. Performs administrative functions, scheduling, answering phones, and coordinating general requests.

Duties and Responsibilities:
• Provide exceptional customer service and maintain a professional appearance
• Answer all incoming calls or faxes and promptly return messages
• Handle all aspects of patient authorization, registration, and initial intake, including plan eligibility and insurance verification, proper entry of patient care orders, and obtaining signed KMC care forms according to the direction of the Revenue Cycle Director or designee
• Participates in KMC Patient Access meetings and education
• Obtain and track any necessary provider signatures for documents such as evaluations or progress notes
• Effectively coordinate patient-therapist scheduling, for inpatient and outpatient services, with consideration to referral status and therapist plan of care
• Provide all outpatients with a printed schedule of future appointments and issue appointment reminders 24 hours in advance
• Maintain a current patient call list for filling open appointment slots as appropriate
• Adjust schedules to various changes as needed for changes in staffing or availability
• Always maintain a clean and professional working environment
• Assist staff throughout the day with the cleanliness and organization of patient care areas
• Remain up to date with Medicare guidelines and policies related to rehabilitation services
• Notify appropriate individuals of changes in scheduling and staffing
• Actively contribute to the growth and development of the rehabilitation program, including participating in Process Improvement or Quality Assurance initiatives and team trainings or team building exercises
• Attend all required team meetings and take notes, ensure action items are documented and tracked for subsequent meetings
• Train or mentor other staff members in aspects of patient care advocacy and authorizations as needed
• Stay abreast of current standards relative to your role and help maintain department standards in areas such as patient safety and financial stewardship
• Perform other duties as assigned

Required Knowledge/Skills/Abilities:
• Computer and data entry skills, proficiency in Microsoft Suite programs preferred
• Strong written and verbal communication skills
• Demonstrated ability to work in a team environment
• Strength in critical thinking, troubleshooting, and problem-solving
• Knowledge of medical terminology and medical insurance authorization guidelines
• CPR certification required within 6 months of hire

Education and Experience:
• High school diploma or equivalent
• 1-year front-line customer service experience
• 1-year registration and authorization experience

Physical Requirements:
• Prolonged periods of sitting with occasional standing and walking
• Pushing and pulling up to 50 pounds, lifting and carrying to 5 pounds at times
• Able to talk, hear, and see for extended periods


The above information has been designed to indicate the general nature and level of work performed by an employee in this classification. It is not to be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required to do this job. Reasonable accommodations will be made to enable qualified individuals with disabilities to perform the essential functions of this position.