About The Position

UC Health is seeking an Access Representative for its Admitting & Registration team. The role creates and updates Epic accounts from scheduled appointments, obtains demographic and insurance information during pre-registration, completes required documentation, and prioritizes insurance coverage. Accurate registration data supports the organization’s revenue and reimbursement processes. The representative also responds to appointment questions, manages and codes daily worklists, secures accounts within required timelines, and meets facility productivity and quality standards.

Requirements

  • High school diploma or GED.
  • Analytical skills and ability to solve problems.
  • Computer literacy.
  • Excellent communication and problem-solving skills.
  • Ability to deal with customers who may be adversarial.
  • Ability to independently resolve customer service issues.

Nice To Haves

  • 1–3 years of experience in registration, billing, customer service, or a managed care organization.

Responsibilities

  • Create Epic accounts from scheduled appointments and create, update, and secure accounts using pre-registration guidelines and documentation standards.
  • Attempt to obtain demographic and insurance information in accordance with the Pre-Registration Minimum Data Set, Documentation Standards, and Situation Response Guidelines.
  • Screen and complete required documentation and prioritize insurance coverage as primary, secondary, and tertiary.
  • Complete required MSP questionnaires for appropriate patients.
  • Answer questions about patient appointments or transfer callers to the appropriate scheduling department, service area, or physician office.
  • Code the Daily Worklist according to applicable Worklist Coding Standards and organize tasks by priority.
  • Ensure worklist coding is consistent with documentation in LastWord.
  • Secure applicable accounts within the timelines defined by the Due Diligence Standard while maintaining department productivity and quality standards.
  • Meet facility productivity standards and Patient Accounts Quality Guidelines.
  • Report improvements, problems, and changes related to insurance verification to Department Management.
  • Perform other duties as assigned in the Access Unit Department.
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