Shaw Cancer Center Patient Access Representative

About The Opportunity

Responsible for patient registration, admissions, and associated tasks which include information collection and validation, and requisitioning of orders and services. Insurance-related tasks include: verification, collection of co-payments, and collection of associated paperwork.

• Performs administrative functions, scheduling, answering phones, and coordinating general requests.
• Registers patients and performs all registration-related functions, including explaining and obtaining all necessary patient consents and authorizations in a complete and timely manner, and collecting financial paperwork (e.g., patient responsibility statement, etc.) and co-payment as required.
• Communicates effectively with patient to assist in access to care by: answering telephone and other incoming communications in a timely and customer-service oriented manner; replying to inquiries, patient needs for information, and other parties clearly and in a timely manner; and, if information is not readily available, follows up with inquiries to responsible party.
• Solves all non-clinical questions within scope of knowledge while providing excellent customer service on the phone and/or in person.
• Performs on-going documentation audits for medical necessity, plan of care, and other related tasks or requirements by payors, including Medicare, using a variety of computer-based systems.
• If in a procedure-based department, routinely schedules appointments for all procedures educating each patient with pre-exam and if necessary, post-exam requirements within scope.
• Organizes, generates and distributes patient reminders, results, and recall letters.
• Establishes files, maintains information, and scans medical records in a timely and organized manner.
• Manages, directs and responds to incoming office correspondence as deemed appropriate, including mail, email, faxes, and telephone calls and forward queries to the appropriate staff.
• Organizes, monitors, and orders front desk supply inventory to assure cost effective departmental spending.
• Attends and provides feedback for departmental staff meetings.
• Follows Center for Medicare & Medicare Services (CMS) requirements for checking medical necessity communicates relevant coverage/eligibility information to the patient.
• Identifies patients who will need Medicare Advance Beneficiary Notices (ABNs) of non-coverage and maintains accurate records of authorizations within the EMR.
• Completes Medicare Secondary Payer Questionnaire for Medicare beneficiaries in accordance with Centers for Medicare & Medicaid Services (CMS) standards.
• Role Models the Principals of a Just Culture and Organizational Values.
• Ensures compliance with all applicable HIPAA, EMTLA and Joint commission requirements, providing required associated literature to patients.
• Performs other duties as assigned on department and organizational-level.

Experience

Customer service and clerical experience.

Education

N/A

Licenses And Certifications

N/A

Benefits

At Vail Health (Full Time) Include Competitive Wages & Family Benefits: Competitive wages
Parental leave (4 weeks paid)
Housing programs
Childcare reimbursement
Comprehensive Health Benefits: Medical
Dental
Vision
Tuition Assistance Existing Student Loan Repayment
Specialty Certification Reimbursement
Annual Supplemental Educational Funds
Paid Time Off: Up to five weeks in your first year of employment and continues to grow each year.
Retirement & Supplemental Insurance: 403(b) Retirement plan with immediate matching
Life insurance
Short and long-term disability
Recreation Benefits, Wellness & More: Up to $1,000 annual wellbeing reimbursement
Recreation discounts
Pet insurance

Pay

Pay is based upon relevant education and experience per hour. Hourly Pay $20.67 - $24.37 USD