Health Access Rep

Capital Health • Hopewell, VA

295d

About The Position

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region. The position involves following computer system and department operational procedures and training guidelines to obtain accurate demographic, diagnosis, and insurance information on each registration. The role requires registering a minimum number of patients per employee shift as measured by productivity reports, presenting forms, obtaining signatures, and complying with department procedures and regulatory guidelines.

Requirements

• High school diploma or equivalency.
• One year experience in a healthcare setting or one year customer service experience.
• Medical terminology and medical insurance knowledge preferred.
• Strong customer service skills.
• Excellent verbal and written communication skills.
• Strong interpersonal skills.
• Basic computer skills.

Responsibilities

• Follows computer system and department operational procedures and training guidelines to obtain accurate demographic, diagnosis, and insurance information on each registration.
• Registers established goal of minimum required patients per employee shift as measured by productivity reports.
• Presents forms and obtains signatures using approved scripts.
• Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Advance Beneficiary Notice, Advance Directives, and Patients Rights forms.
• Follows payer requirements for authorization, pre-authorization, referrals, coordination of benefits forms, and in-network verification according to department procedures and the Insurance Card Database and Insurance Verification guidelines.
• Follows Financial Screening and Self Pay Procedure with regards to referrals for Medicaid and Charity Care.
• Supports department performance improvement initiatives.
• Assists with accurate data collection in support of quality performance improvement initiatives.
• Attend all mandatory department meetings.
• Follows patient identification policy.
• Acts as a resource for Patient Access department.
• Acts as a liaison for physician office and ancillary departments.

What This Job Offers

• Industry: Hospitals
• Education Level: High school or GED