Patient Access Advisor

Rome Health • Rome, NY

6d

About The Position

The Patient Access Advisor is responsible for completing insurance verification, medical necessity validation, point of services collections, obtaining authorizations or validating authorizations have been secured for procedures including high cost drugs. This role ensures accurate collection and verification of patient information while delivering excellent customer service.

Requirements

• High School Diploma or GED required

Nice To Haves

• Experience in an acute care hospital, physician's office, or other healthcare setting is preferred
• Knowledge of office procedures and equipment
• Familiarity with health insurance processes and medical terminology preferred
• CHAA/CHAM certification preferred

Responsibilities

• Explain required forms and obtain patient signatures as appropriate
• Verify insurance coverage and document prior authorizations
• Validate medical necessity for ordered services
• Collect patient out-of-pocket payments
• Ensure physician orders are present and compliant with hospital policy
• Maintain accurate documentation in accordance with regulatory and organizational standards

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED