PATIENT ACCESS SERVICES REP I, SPN FAM MED MCPHERSON

About the role

Responsible for obtaining necessary demographic and financial data through patient interviews, the centralized scheduling system and system queries to complete the pre-registration process. Requires verification of insurance benefits and accurate entry of patient demographic and financial data. Will be responsible for fulfilling managed care requirements and pre-certification needs. Will be accountable for accuracy of information entered and documentation provided. Will coordinate referral of account to appropriate PFS personnel, including Customer Service Representatives, Billers, and Patient Account Collectors.

Responsibilities

• Obtain necessary demographic and financial data through patient interviews, the centralized scheduling system and system queries to complete the pre-registration process.
• Verify insurance benefits and enter patient demographic and financial data accurately.
• Fulfill managed care requirements and pre-certification needs.
• Coordinate referrals to appropriate PFS personnel.
• Ensure accuracy of information entered and documentation provided.

Requirements

• PC and Windows literacy required; prefer knowledge of, or experience with, HBOC Series 2000 ADT/PA, Florida Shared System, Medifax, Microsoft Office applications, and Dr. Chart.
• Extensive knowledge of insurance/managed care, to include: Medicare; Medicaid (Georgia and Florida); Peach Care; Tricare (Standard, Extra and Prime); VA; Disability Adjudication Services; Vocational Rehabilitation; Children’s Medical Services; Cancer State Aid; Crime Victim’s Compensation Program; Knight’s Templar Eye Foundation; Managed Care (HMO, PPO, POS, Medicare HMO); COBRA; Worker’s Compensation; Georgia Indigent Care Trust Fund; Blue Cross (Georgia, Florida, out-of-state and FEP); and Institutional Billing.
• Strong verbal communication skills.
• Knowledge of, or coursework in, medical terminology.
• Familiarity with CPT-4, HCPCS, ICD-9, and DRG coding.
• Thorough understanding and knowledge of patient type; financial class; insurance master; employer codes; clinic codes; physician coding; admission source codes; relationship codes; accommodation codes; special handling codes; medical service codes.
• College degree or coursework preferred.
• CPAR preferred.
• Ability to organize workload in an efficient manner and type 40 wpm accurately.
• Previous data entry, programming, office coordinator experience highly preferred.
• Spanish bilingual highly desirable.

Skills

• Technical/system skills/knowledge: PC and Windows literacy; knowledge of, or experience with, HBOC Series 2000 ADT/PA, Florida Shared System, Medifax, Microsoft Office applications, and Dr. Chart.
• Insurance/managed care knowledge: Medicare; Medicaid (Georgia and Florida); Peach Care; Tricare (Standard, Extra and Prime); VA; Disability Adjudication Services; Vocational Rehabilitation; Children’s Medical Services; Cancer State Aid; Crime Victim’s Compensation Program; Knight’s Templar Eye Foundation; Managed Care (HMO, PPO, POS, Medicare HMO); COBRA; Worker’s Compensation; Georgia Indigent Care Trust Fund; Blue Cross (Georgia, Florida, out-of-state and FEP); and Institutional Billing.
• Verbal communication skills.
• Medical terminology knowledge.
• CPT-4, HCPCS, ICD-9, and DRG coding familiarity.

Benefits

• Low Healthcare Insurance Premiums
• 401(k) with employer match
• Paid Time Off (PTO)
• Employee discounts
• Company paid life insurance
• Short-Term and Long-Term Disability
• Cancer Insurance
• Accident Insurance
• Pet Insurance
• Tuition Reimbursement
• On-the-job training and skills development
• Opportunities for growth and advancement
• Employee Assistance Program

Pay

Details about pay are not specified in the job posting.

Schedule

The position is full-time, 8-hour day shift, Monday through Thursday from 8:00 AM to 5:00 PM; Wednesday and Friday from 8:00 AM to 1:00 PM.