Senior Patient Access Representative - Sat/Sun 3-11:30PM

About the Role

The Senior Patient Access Representative will greet, schedule, meet, and register 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
• 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 documents 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 referrals 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 to hospital staff as needed
• 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
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum necessary to perform assigned duties

Requirements

• High School Diploma or equivalent required; College degree preferred
• 1 year of office/clerical experience in a healthcare field required
• Ability to understand/interpret documented clinical information and relay pertinent medical/clinical information to insurance companies
• Exemplary customer service skills, including the ability to negotiate and problem-solve
• Proficiency in Microsoft Office Suite
• Strong interpersonal skills and ability to communicate well at all levels of the organization
• Strong problem-solving and creative skills, with the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results-oriented approach
• Excellent written and verbal communication skills
• Gracious and welcoming personality for customer service interaction
• Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes

Schedule

Every other Saturday/Sunday, 3:00 PM - 11:30 PM

Working Conditions

• Works in a well-lighted/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
• Ability to work in accordance with hospital safety standards

Physical Demands

• Occasionally required to move around the work area
• Sit and perform manual tasks
• Operate tools and other office equipment such as computers, computer peripherals, and telephones
• Extend arms, kneel, talk, and hear
• Perform light lifting (up to 15 pounds)

Mental Demands

• Must be able to follow directions
• Collaborate with others
• Handle stress