Patient Access Rep II

Job Summary and Responsibilities

This position is responsible for identifying and collecting patient financial obligation for the duration of stay as well as verifying the eligibility/benefits information for the patient's visit. This position will also determine eligibility for the hospital's various financial assistance programs.

• Performs collection functions and financial assistance for payment methods
• Conducts interviews with patients and/or family members
• Collects and/or negotiates point of service payments or links to financial assistance programs
• Articulates information in a courteous, clear, and informative manner to patients, guarantors, family members, clinical staff, other hospital personnel, vendors, physicians, and their office staff
• Conveys estimates of the patient responsibility portion of the billed cost of service to patients under deductible, coinsurance, and standard co-pay benefit designs based on established charge estimates for common procedures
• Counsels patients regarding their third-party coverage, financial responsibility, and billing procedures
• Reviews patient account summaries of unbilled charges, billing, payments, and collection activities
• Obtains all forms required for patients potentially qualifying for financial assistance
• Reviews and monitors accounts for inpatients and initiates proper action
• Ensures payors are listed accurately, pertaining to primary, secondary, and/or tertiary coverage and billing when a patient has multiple third-party/governmental payors listed on an account
• Processes patient accounts and deploys established policies to resolve insurance issues with patient accounts with or without supervision (e.g., conference calls with employer, payor and physician office staff)
• Initiates pre-cert for in-house patients when required, obtaining pre-certification reference number, approved length of stay, and utilization review company contact person and telephone number

High School Diploma / GED

One (1) Year of Experience Preferred

Common Spirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services Common Spirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection.

With our combined resources Common Spirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

$15.00 - $20.62 per hour

Seniority Level: Entry level

Employment Type:

Full-time

Job Function:
Health Care Provider

Industries:
Hospitals and Health Care

Location:

College Station, TX