Patient Access Rep II Per Diem– Insurance Verification Rep

Essential Functions

• Verify insurance eligibility and benefits for complex and high-priority cases using payer portals and electronic tools.
• Obtain and document prior authorizations, including peer-to-peer requests and escalations.
• Coincide with clinical departments and physician offices to ensure accurate procedure and diagnosis coding.
• Provide mentorship and training to Patient Access Representative I staff.
• Aid in resolving escalated patient inquiries and insurance issues.
• Ensure accurate and complete patient registration and financial documentation.
• Collect co-pays, deductibles, and outstanding balances; establish and monitor payment plans.

Minimum Qualifications

• EDUCATION: Two (2) years of experience in a healthcare setting with a focus on insurance verification or patient access.
• EXPERIENCE: None required; CHAA or related certification preferred.
• KNOWLEDGE, SKILLS, AND ABILITIES: Advanced knowledge of insurance plans, medical terminology, and healthcare billing practices. Strong communication and customer service skills with the ability to de-escalate complex situations. Proficiency in EHR systems, payer verification tools, and Microsoft Office Suite. Ability to multitask, prioritize, and manage time effectively in a fast-paced environment. Attention to detail and accuracy in data entry and documentation. Demonstrated leadership and mentoring capabilities.