Patient Access Representative Senior - Emergency Department

and support team member for the Patient Access Verifies insurance Verifiesinjections and surgeries. Demonstrates an advanced knowledge of understanding HMO/managed care requirements and clearly communicates them to patients and providers. Provides pre-payment guidance for self-pay patients and offers financial assistance. Prepares cost estimates, explains payment expectations and documents all interactions in the patient account.
insurance coverage and understands requirements for HMO, managed care, government and private plans. Secures required referrals/authorizations and links them correctly in the referral module. Obtains needed referrals and authorizations before scheduled procedures, tests, Maintains proficiency in all aspects of patient medical record keeping in an organized manner. Assists in preparation of the chart before the patient visits. If applicable, assists in breaking down the chart at the completion of the patient's visit.

Ensures that all patients arrived in the appointment scheduling system before the end of the appointment day. Where appropriate, appointments are documented as “no-shows” or cancellations before the end of the appointment day. Obtains signatures and completes the required forms including those from managed care and other insurance plans.
** Miscellaneous Responsibilities
** Notifies supervisor of issues involving violation of VCUHS policies or procedures. Performs other duties as assigned and/or participates in special projects to support the mission of VCUHS and department.
** Employment Qualifications
***
* Education Required:

** High School Diploma or equivalent
** Education Preferred:
** Associates or Bachelor’s Degree in Accounting, Finance, Business Administration, Healthcare Administration or closely related field from an accredited program.
** Minimum Qualifications
*
* Experience:

Minimum of one (1) year of VCUHS experience with patient scheduling/registration.

Other Knowledge, Skills and Abilities Required:

Delivers high quality and consistent customer service skills. Ability to cross-cover all Patient Access functions within the department and/or clinic. Ability to effectively orient and train new hires to service area.

Other Knowledge, Skills and Abilities Preferred:

N/A
** Physical Requirements
** Physical Demands:
Lifting/ Carrying (0-50 lbs.), Push/ Pull (0-50 lbs.),Stoop, Kneel, Squat, Crawling, Climbing, Balance, Bending
** Additional

Physical Requirements / Hazards
*
* Physical Requirements:

Manual dexterity (eye/hand coordination), Perform shift work, Hear alarms/telephone/tape recorder, Repetitive arm/hand movements
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