Representative, Patient Access

Overview

Purpose:

Provides patient focused customer service. Performs outpatient and/or inpatient registration and insurance verification functions; collects patient financial liability payments and ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications and referrals. Provides general information to hospital users, patients, families and physician offices.

Employment Type:

Full time

Day Shift

• Performs outpatient and/or inpatient registration and insurance verification functions.
• Collects patient financial liability payments and ensures patients meet financial requirements.
• Verifies eligibility and benefits, including Medicare medical necessity and payer pre-certifications and referrals.
• Provides general information to hospital users, patients, families and physician offices.
• Researches, collects and analyzes information; identifies opportunities, develops solutions, and leads through resolution.
• Collaborates on performance improvement activities as indicated by outcomes in program efficiency and patient experience.
• Distributes analytical reports as part of the role.
• Utilizes multiple system applications to perform analysis, create reports and develop educational materials.
• Maintains a working knowledge of applicable laws, compliance programs and policies to ensure ethical and safe work practices.

• Minimum:
  High school diploma or equivalent.
• HFMA CRCR or NAHAM CHAA required within one year of hire.
• Medical terminology required and knowledge of diagnostic and procedural coding (nice to have).
• Insurance verification with the ability to explain benefits and secure necessary authorizations.

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.