Patient Access Representative

Job Description Summary

Confirm patient demographics and insurance information are correct. Prior authorizations for diagnostic and clinic orders/procedures. Verify eligibility of insurance on all incoming patients. Determine covered medical insurance benefits in accordance with the provisions of the plan document. Document medical claims processes by completing forms and providing appropriate documentation to insurance companies upon request. Ensure legal compliance by following company policies, procedures, guidelines, as well as federal insurance regulations.

Acquire appropriate medical records for intake of consultations and upload patient documentation and medical records into the patient’s electronic medical record. Work with the Radiation Oncology team, schedule patient appointments, provide call‑backs, and receive and provide information to patients, significant others, and healthcare team members in a courteous and professional manner. Provide an accurate and timely registration process to the patient population.

Medical University Hospital Authority (MUHA)

Employee

Regular

CC004782 ORBG - Cancer Oncology Center

Hourly

Health‑20

40

Education:

High school diploma or equivalent (GED), with 1 year of customer service experience. Ability to interpret and apply financial procedures and regulations preferred. Previous experience with hospital information systems or word processing preferred.

Ability to perform job functions while standing (continuous); while sitting (continuous); while walking (continuous); climb stairs (infrequent); work indoors (continuous); work outside in temperature extremes (infrequent); work from elevated areas (frequent); work in confined/cramped spaces (frequent); perform job functions from kneeling positions (infrequent); bend at the waist (continuous); twist at the waist (frequent); squat and perform job functions (frequent); perform “pinching” operations (frequent);

perform gross motor activities with fingers and hands (continuous); perform firm grasping with fingers and hands (continuous); perform fine manipulation with fingers and hands (continuous); reach overhead (frequent); perform repetitive motions with hands/wrists/elbows and shoulders (continuous); fully use both legs (continuous); use lower extremities for balance and coordination (frequent); reach in all directions (continuous); lift and carry 50 lbs. unassisted (infrequent);

lift/lower objects 50 lbs. from/to floor or from/to 36 inches unassisted (infrequent); lift from 36