Senior Patient Access Representative - PRN - 3:00 - 11:30 PM

Greet, schedule, register, and assist patients in a friendly, courteous, and professional manner.

Responsibilities

• Answer and route telephone calls and messages
• Coordinate insurance verifications and pre-authorizations
• Maintain medical records and prepare charts/paperwork
• Work effectively with insurance companies to obtain/verify pre-certification/authorization for services
• Understand and interpret documented clinical information and relay pertinent medical/clinical information to the insurance company
• Fax pre-certification request forms to insurance companies
• Maintain files and security of confidential information, utilizing host system to scan and input data as per established procedures
• Verify medical insurance information and document in scheduling/registration modules
• Accurately enter and update patient data and other general data into the computer system
• Perform patient intake, including insurance verification, notification of copays/patient liability, and confirmation of demographics
• Maintain account work progress, including updating authorization logs, account referral in EMR, authorization paperwork, and issue reports
• Demonstrate knowledge of varied managed care insurance and regulatory guidelines
• Monitor waiting area and communicate with clinical staff regarding patient readiness
• Provide assistance as needed to physicians, department managers, and clinical staff
• Perform other duties as assigned
• Use, protect, and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

Requirements

• High School Diploma or equivalent (required)
• College degree (preferred)
• 1 year of office/clerical experience in a healthcare field (required)
• Exemplary customer service skills, including the ability to negotiate and problem-solve
• Ability to communicate using clear and well-organized oral and written techniques
• Strong attention to detail
• Ability to work within deadlines with frequent interruptions

Schedule

3:00 PM – 11:30 PM every other Saturday and Sunday.

Working Conditions

• Physical Demands: Occasionally move around the work area; sit; perform manual tasks; operate tools and other office equipment such as computers, peripherals, and telephones; extend arms; kneel; talk and hear. Perform light lifting (up to 15 pounds).
• Mental Demands: Follow directions, collaborate with others, and handle stress.
• Work Environment: Works in a well-lighted and ventilated office setting. Subject to frequent interruptions. Minimal occupational exposure to infectious diseases, bloodborne pathogens, hazardous chemicals, noxious odors, latex, or musculoskeletal injuries. Operate office machines properly and in accordance with hospital safety standards.