About The Position

Interviews patients and/or other sources to obtain demographic and financial data accessing patients to clinical and financial systems of the hospital. Communicates health benefit regulations and patient financial obligation to responsible parties. Receives requests both written and telephonic to schedule patient appointments via the electronic scheduling system. Gathers and records financial and insurance information, coordinates and makes referrals to appropriate financial resources. Validates financial and insurance information, obtains appropriate pre-certification and authorization for services, collects co-pays; completes all admission/registration paperwork.

Requirements

  • High school diploma or equivalent required
  • Experience in clerical, patient contact, hospital business office or insurance
  • Communication skills required to interview patients and families, to gather and exchange information with other hospital staff members, physicians, third party payors and resource persons.
  • A minimum of one year’s experience as a Patient Access & Scheduling Representative
  • Concise written communication skills and keyboarding skills required.

Nice To Haves

  • Knowledge of basic medical terminology
  • Previous experience as a Patient Access Representative at TMC or equivalent at another organization.

Responsibilities

  • Obtain demographic and financial data from patients and other sources.
  • Access patients to clinical and financial systems of the hospital.
  • Communicate health benefit regulations and patient financial obligations.
  • Schedule patient appointments via the electronic scheduling system.
  • Gather and record financial and insurance information.
  • Coordinate and make referrals to appropriate financial resources.
  • Validate financial and insurance information.
  • Obtain pre-certification and authorization for services.
  • Collect co-pays.
  • Complete all admission/registration paperwork.
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