Patient Access Representative
About the role
The Patient Access Representative role involves welcoming, greeting, interviewing patients and/or representatives in person or over the telephone to ensure an exceptional initial experience at the hospital. This includes obtaining necessary demographic and insurance information to facilitate proper billing and reimbursement.
Responsibilities
- Communicates directly with patients and/or families to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility.
- Utilizes computer systems to enter access or verify patient data in real-time, ensuring accuracy and completeness of information.
- Gathers necessary clinical information and processes referrals, pre-certifications, pre-determinations, and pre-authorizations according to insurance plan requirements.
- Verifies insurance coverage, benefits, and creates price estimates, reverifications as needed.
- Collections patient co-pays as appropriate and conducts conversations with patients on their out-of-pocket financial obligations.
- Identifies outstanding balances from patient's previous visits and attempts to collect any amount due.
- Responsible for collecting data directly from patients and referring to provider offices to confirm and create scheduled appointments for patient services prior to hospital discharge.
- Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner.
- Generates, reviews, and analyzes patient data reports and follows up on issues and inconsistencies as necessary.
- Maintains up-to-date knowledge of specific registration requirements for various units including Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation.
Requirements
- High School Diploma/GED
- 1+ years of customer service experience
- Ability to work onsite at 1 Norton Ave, Oneonta, NY
- Ability to work 3:00pm - 11:00pm Monday - Friday, plus occasional weekends
- Must be 18 years of age OR older
Preferred Qualifications
- 1+ years of experience in scheduling and authorizations
- Healthcare experience and clinical knowledge
- Ability to work night and weekend hours
Skills
- Ability to engage and effectively communicate with individuals and groups of adults at all levels within the organization
- Builds rapport quickly, develops trust, sustains working relationships, and represents CRH positively in internal and external meetings
- Strong time-management and organizational skills
- Effective communication skills and interpersonal skills
- Basic keyboarding skills
- Strong interpersonal, communication, and customer service skills
Benefits
- Competitive base pay
- Full and comprehensive benefit program
- Performance rewards
- Management team committed to your success
- Some of our offerings include:
- Paid Time Off
- Medical Plan options
- Dental, Vision, Life & AD&D Insurance
- Short-term disability and Long-term Disability coverage
- 401(k) Savings Plan
- Employee Stock Purchase Plan
- Education Reimbursement
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
Pay
The hourly pay for this role will range from $16 to $29 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Schedule
The hours of the training will be based on schedule or will be discussed on your first day of employment.
Location
Location: 1 Norton Ave, Oneonta, NY 13820 (Fox Hospital Oneonta)
UnitedHealth Group
We offer a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements).
Sign-On Bonus
The sign-on bonus is only available to external candidates. Candidates who are currently working for UnitedHealth Group, UnitedHealthcare or a related entity in a full time, part time or per diem basis ("Internal Candidates") are not eligible to receive a sign on bonus.