Access Representative I-Full Time-Days

Cape Fear Valley Health
Onsite

About The Position

Obtain accurate and detailed demographic, financial and clinical information to perform accurate and complete admissions/registrations, while exhibiting warmth, compassion and responsiveness to patients, their families and friends, professionals and co-workers within the hospital.

Requirements

  • High school diploma or equivalent required
  • 1 year experience with Microsoft Windows required
  • 1 year of insurance/clerical experience within a hospital or medical office setting preferred
  • Knowledge of insurance and collection of payments preferred
  • Medical terminology knowledge preferred
  • Ability to type and perform data entry functions at a level required and needed to maintain productivity standards of a department
  • Excellent verbal and written communication skills
  • Demonstrated customer service skills to a variety of customers from different cultural and economic backgrounds preferred
  • Critical thinking skills and ability to problem solve
  • Multi-skilled with the ability to appropriately handle complexity and stress with the changing needs of the patients, families, visitors, and the Health System
  • Dexterity to operate office equipment
  • Answer telephone calls, use personal computer and other business machines extensively

Responsibilities

  • Query EAD and enter patient demographics in computer system to obtain accurate patient medical record and account number
  • Communicate Medical Center’s Collection Policy and collect outstanding balance amounts, deposits and point of service payments
  • Verify insurance benefits and obtain prior authorizations for those payers that require pre-authorization
  • Verify through Compliance Checker Software all Medicare patient diagnoses to ensure compliance with LMRP guidelines and obtain ABN’s as necessary
  • Obtain physician orders to support services rendered
  • Order ancillary tests within the order entry system
  • Assist insurance companies, physician offices, and other hospital departments with patient information, etc.
  • Monitor and coordinate patient placement through bed control functions in a timely and patient focused manner
  • Other duties as assigned
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