Per Diem Patient Access Representative
Optum · Delhi, NY · 4 mo ago
HealthcareFull-time
About the role
The Patient Access Representative welcomes, greets, interviews patients and/or representatives in person or over the telephone to ensure their initial experience with the hospital is exceptional. This position is per diem.
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-determination, 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
Requirements
- High School Diploma/GED (or higher)
- 1+ years of customer service experience
- Ability to work per-diem hours (generally 8-16 hours per week) with the potential to cover all shifts within a 24-hour day. It may be necessary, given the business need, to work occasionally overtime or weekends
- Must be 18 years of age OR older
- Access to reliable transportation & valid US driver's license
Qualifications
- 1+ years of experience in scheduling and authorizations
- Healthcare experience and clinical knowledge
- Ability to work night and weekend hours
Soft Skills
- Ability to engage and effectively communicate with individuals and groups of adults at all levels within the organization
- Ability to build rapport quickly, develop trust, sustain working relationships, and represent CRH positively in internal and external meetings
- Strong time-management and organizational skills
- Effective communication skills and interpersonal skills
- Basic keyboarding skills
- Strong interpersonal, communication and customer service skills
Physical and Work Environment
- Standing for long periods of time (10 hours) while using a workstation on wheels and phone/headset
Benefits
Learn more about our range of benefits designed to help you live well. Our mission of helping people live healthier lives extends to our team members.