Patient Access Services Rep , Cancer Administration

PATIENT ACCESS SERVICES REP I, CANCER ADMINISTRATION

Join to apply for the PATIENT ACCESS SERVICES REP I, CANCER ADMINISTRATION role at SGMC Health

WHAT IT'S LIKE AT SGMC HEALTH.

Description:

WHAT IT'S LIKE AT SGMC HEALTH.

Purpose:

No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place. Excellence:
We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service. Team Spirit:
We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment. Award Winning Performance:
We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides.

SGMC has great benefit options, depending on the role that you are going into– including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities to expand your skill set. Some of these great benefit options are listed below:

• Low Healthcare Insurance Premiums
• 401(k) with employer match
• Paid Time Off (PTO)
• Employee discounts
• Company paid life insurance
• Short-Term and Long-Term Disability
• Cancer Insurance
• Accident Insurance
• Pet Insurance
• Tuition Reimbursement
• On-the-job training and skills development
• Opportunities for growth and advancement
• Employee Assistance Program

JOB LOCATION : Cancer Center

DEPARTMENT: PCC - CANCER CENTER ADMINISTRATION

SCHEDULE: Full Time, 8 HR Day Shift

Responsible for all aspects of scheduling of inpatient and outpatient procedures;
Knowledgeable of recording patients into the system. Responsible for the complete registration of a patient. Knowledgeable of patient transfers and bed placements for all departments. Will be held accountable for meeting the standard productivity rate of 94% to 105%. Must understand and comply with HIPAA. Knowledgeable of Medicare and the questionnaire that must be completed on each Medicare patient. Responsible for verifying insurance benefits and accurate entry of patient demographics and financial data.

Will be responsible for fulfilling all Pay Nav functionalities including medical necessity on all Medicare patients, cost estimates for each patient and insurance verification on all patients. Strive to reach 100% of your personalized collection goal. Will be accountable for accuracy of information entered and documentation provided. Will be held accountable for meeting the standard accuracy rate of 98% or higher in AHIQA.

Will coordinate referral of account to appropriate personnel, including Customer Service. Responsible for maintaining, responding, and addressing all SGMC emails, phone calls, and voice messages.

• Technical/system skills/knowledge: PC and Windows literacy required; prefer knowledge of, or experience with, Series, Trace, Pay Nav, and Microsoft Office applications.
• Extensive knowledge of insurance/managed care, to include:
  Medicare;
  Medicaid (Georgia and Florida);
  Peach Care;
  Tricare (Standard, Extra and Prime); VA;
  Disability Adjudication Services;
  Vocational Rehabilitation;
  Children’s Medical Services;
  Cancer State Aid;
  Crime Victim’s Compensation Program;
  Knight’s Templar Eye Foundation;
  Managed Care (HMO, PPO, POS, Medicare HMO); COBRA;
  Worker’s Compensation;
  Georgia Indigent Care Trust Fund;
  Blue Cross (Georgia, Florida, out-of-state and FEP); and Institutional Billing.
• Strong verbal communication skills.
• Excellent customer service skills. Interacts with: patients; other departments; physician offices; other acute medical care providers; insurance companies; pre-certification companies; employers; intermediaries; utilization review companies; and state regulatory agencies (GMCF, Medicaid).
• Knowledge of, or coursework in, medical terminology.
• Familiarity with CPT Codes, HCPCS, and ICD-10, and PCI compliance.
• Related regulatory and legal requirements:
  Medicare Secondary Payer Questionnaire;
  Advance Directives (living…