Patient Access Representative, Patient Access, Full Time, Third Shift

Responsibilities

• Performing scheduling, pre-certification, benefit verification and pre-certification
• Requires fast response to customer needs, independent judgement, ingenuity and initiative in utilization of computers and other equipment.
• Works with staff and understand appropriate scheduling processes and how processes affect 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 that all demographic and financial data is obtained and entered in the EPIC system in an accurate and timely manner.
• Ensures that pre-certification and/or authorization is obtained 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 for proper entry into and through the health care system.
• Performs 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

Schedule

Full Time, 8:30pm-7:00am, Varied Days