Health Access Representative

Responsibilities

• Obtains demographic, diagnosis, and insurance information on each patient registration.
• Registers established goal of minimum required patients per employee shift as measured by productivity reports.
• Presents forms and obtains signatures using approved scripts.
• Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Advance Beneficiary Notice, Advance Directives, and Patients Rights forms.
• Follows payer requirements for authorization, pre-authorization, referrals, coordination of benefits forms, and in-network verification according to department procedures and the Insurance Card Database and Insurance Verification guidelines.
• Follows Financial Screening and Self Pay Procedure with regards to referrals for Medicaid and Charity Care.
• Supports department performance improvement initiatives.
• Assists with data collection in support of quality performance improvement initiatives.
• Attends department meetings.
• Fulfills patient identification policy.
• Acts as a resource for Patient Access department.
• Acts as a liaison for physician office and ancillary departments

Requirements

• High school diploma or GED.
• One year experience in a healthcare setting or one year customer service experience.
• Acquired knowledge of various areas within Health Access environment.
• Medical terminology and medical insurance knowledge preferred.
• Basic computer skills.

Frequent Physical Demands

• Sitting
• Standing
• Walking
• Wrist position deviation
• Pinching/fine motor activities
• Keyboard use/repetitive motion

Occasional Physical Demands

• Climbing (e.g., stairs or ladders)
• Carry objects
• Push/Pull
• Twisting
• Bending
• Reaching forward
• Reaching overhead
• Squat/kneel/crawl

Continuous Physical Demands

• Talk or Hear

Lifting

• Floor to Waist - 15 lbs.
• Waist Level and Above - 10 lbs.

Benefits

Our Network Offers are contingent upon successful completion of our onboarding process and pre-employment physical.

Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine, with the exception of individuals with medical and religious exemptions.

Company will never ask candidates for social security numbers or date of birth during application phase. If you are asked for this information online, you may be a target for identity theft.