Patient Access Representative, Patient Access, Full Time, 1st Shift

Schedule

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

Responsibilities

• Perform scheduling, pre-certification, benefit verification, and re-certification.
• Respond quickly to customer needs using independent judgment, ingenuity, and initiative in utilizing 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; obtain all required signatures.
• Ensure all demographic and financial data is accurately and timely entered into the EPIC system.
• Obtain pre-certification and/or authorization to comply with insurance company policies.
• Determine estimated patient financial responsibility through verified insurance benefits, co-pays, and deductibles; calculate estimated self-pay portions to be collected at registration.
• Manage 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 healthcare system.
• Perform all other duties as assigned by the management team.

Qualifications

• High School Diploma or equivalent.
• General knowledge and experience in the healthcare industry is 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.