Senior Patient Access Representative - PRN

Duties And Responsibilities

1. Answers and routes telephone calls and messages
2. Captures insurance verifications and pre-authorizations
3. Maintains medical records and prepares charts/paperwork
4. Works effectively with insurance companies to obtain/verify pre-certification/authorization for services
5. Understands/interprets documented clinical information and relays pertinent medical/clinical information to the insurance company
6. Faxes pre-certification request forms to insurance companies
7. Maintains files and security of confidential information utilizing host system to scan and input data as per established procedures
8. Verifies medical insurance information and documents in scheduling/registration modules
9. Accurately enters and updates patient data, and other general data, into the computer system
10. Maintains patient intake; insurance verification, notification of copays/patient liability and confirmation of demographics
11. Maintains account work progress, including but not limited to updating authorization logs, account referral in EMR, authorization paperwork and issue reports
12. Demonstrates knowledge of varied managed care insurance and regulatory guidelines
13. Maintains awareness of patient readiness and monitors waiting area
14. Communicates with clinical staff of patient readiness
15. Provides assistance as needed to physicians, Department Managers, and clinical staff
16. Performs other duties as assigned

Qualifications

• High School Diploma or equivalent required
• College degree preferred
• One year office/clerical experience in healthcare field required
• Exemplary customer service skills, including the ability to negotiate and problem-solve
• Strong attention to detail
• Ability to work within deadlines with frequent interruptions