Per Diem Patient Access Representative
Optum · Phoenix, AZ · 1 wk ago
HealthcarePart-time
Primary Responsibilities
- Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits
- Utilizes computer systems to enter access or verify patient data in real-time ensuring accuracy and completeness of information
- Gathers necessary clinical information and processes referrals, pre-certification, pre-determinations, and pre-authorizations according to insurance plan requirements
- Verifies insurance coverage, benefits and creates price estimates, reverifications as needed
- Collections patient co-pays as appropriate and conducts conversations with patients on their out-of-pocket financial obligations
- Identifies outstanding balances from patient's previous visits and attempts to collect any amount due
- Responsible for collecting data directly from patients and referring to provider offices to confirm and create scheduled appointments for patient services prior to hospital discharge
- Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner
- Generates, reviews and analyzes patient data reports and follows up on issues and inconsistencies as necessary
- Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units
Required Qualifications
- A High School Diploma/GED
- 1+ years of experience in a customer service role such as hospital, office, or phone support
- Intermediate level of proficiency with Microsoft Office products
- Ability to work 100% onsite at St. Joe's Hospital at 350 W. Thomas Rd, Phoenix, AZ
- Ability to work the following training hours: Monday to Friday be 8am to 4:30pm or 7am to 3:30pm
- Ability to work a Per Diem/On call schedule
- Access to reliable transportation and valid US driver's license
- Must be 18 years of age OR older
Preferred Qualifications
- Experience in a Hospital Patient Registration Department, Physician office or any medical setting
- Experience in requesting and processing financial payments
- Experience in insurance reimbursement and financial verification
- Working knowledge of medical terminology
- Understanding of insurance policies and procedures
- Ability to perform basic mathematics for financial payments
Soft Skills
- Strong interpersonal, communication and customer service skills
Physical and Work Environment
- Standing for long periods of time (10 to 12 hours) while using a workstation on wheels and phone/headset
Benefits
- Life Resources and support to focus on what matters most to you, in every facet of your life.
- Emotional Education, tools and resources to help you reduce and manage stress, build resilience and more.
- Physical Health plans and other coverage to support wellness for you and your loved ones.
- Financial Benefits for today and to help you plan for the future, including your retirement.