Patient Access Representative, Patient Access

Schedule

Full Time, 8:30am-5:00pm, Monday-Friday

Responsibilities

• Perform scheduling, pre-certification, benefit verification and pre-certification
• Respond quickly to customer needs, exercising independent judgement, ingenuity and initiative in the utilization of computers and other equipment
• Work with staff to understand appropriate scheduling processes and how they affect ancillary departments
• Conduct patient and guarantor interviews for inpatient, outpatient and emergency care registration
• Explain hospital policies and financial responsibilities and obtain all required signatures
• Ensure that all demographic and financial data is obtained and entered accurately and timely in the EPIC system
• Ensure that pre‑certification and/or authorization is obtained to comply with insurance company policies
• Determine estimated patient financial responsibility through verified insurance benefits, co‑pays and deductibles and calculate estimated self‑pay portions to be collected at time of registration
• Control the main line of communication with physicians, nursing, clinical staff, non‑clinical staff and the Patient Access Department to ensure appropriate patient scheduling for proper entry into and through the health care system
• Perform other duties as assigned by the management team

Qualifications

• High School Diploma or equivalent
• General knowledge and experience in the healthcare industry preferred
• Strong customer service experience
• Ability to communicate effectively both orally and in writing
• Working knowledge of medical terminology, ICD‑10 and CPT coding
• Ability to build productive internal and external working relationships
• Basic analytical skills
• Strong organizational skills and attention to detail
• Ability to handle challenging customers in a professional manner