Patient Access Representative, Patient Access, Full Time

Responsibilities

• Performs scheduling, pre-certification, benefit verification and pre-certification
• Responds quickly to customer needs with independent judgement, ingenuity, and initiative using computers and other equipment
• Works with staff to understand and implement appropriate scheduling processes affecting ancillary departments
• Conducts patient and guarantor interviews for inpatient, outpatient, and emergency care registration
• Explains hospital policies and financial responsibilities and obtains all required signatures
• Ensures accurate and timely entry of demographic and financial data into the EPIC system
• Obtains pre-certification and/or authorization to comply with insurance company policies
• Determines estimated patient financial responsibility through verified insurance benefits, co-pays, and deductibles and calculates estimated self-pay portions to be collected at time of registration
• Controls the main line of communication with physicians, nursing, clinical staff, non-clinical staff, and Patient Access Department to ensure appropriate patient scheduling
• Performs other duties as assigned by the management team

Requirements

• High School Diploma or equivalent
• General knowledge and experience in the healthcare industry preferred
• Strong customer service experience
• Effective communication skills, both oral and written
• Working knowledge of medical terminology, ICD-10, and CPT coding
• Basic analytical skills
• Strong organizational skills and attention to detail
• Ability to handle challenging customers professionally