About The Position

St. Mary Medical Center, a member of Trinity Health Mid-Atlantic, is looking for a Patient Access Rep to join our Outpatient, Patient Access team! The patient access representative performs all outpatient, emergency room and inpatient registration functions, including up-front cash collections and insurance verification. Ensures that patients meet financial requirements, provides general information to hospital users, patients and families. Communicates effectively to service delivery areas to maximize patient flow and customer service and provides excellent patient focused customer service. Verifies insurance benefits and checks for the necessity of pre-certification, authorization and referral. Performs medical necessity checks where needed. Secures patient signatures for required hospital forms and collection of patient’s financial responsibility when required. Is responsible for providing professional, quality customer service, timely resolution to customer problems, and coordination of services to all customers. Functions to communicate revenue cycle related issues to patients, physicians, physician office staff and other hospital colleagues. Rotates into various areas of Patient Access and may work a variety of shifts.

Requirements

  • HS diploma or equivalency.
  • Associate degree (Preferred).
  • Minimum 2-4 years of related experience in insurance verification and medical office/hospital outpatient registration experience.

Responsibilities

  • Perform outpatient, emergency room and inpatient registration functions.
  • Conduct up-front cash collections and insurance verification.
  • Ensure patients meet financial requirements.
  • Provide general information to hospital users, patients, and families.
  • Communicate effectively to maximize patient flow and customer service.
  • Verify insurance benefits and check for pre-certification, authorization, and referral necessity.
  • Perform medical necessity checks.
  • Secure patient signatures for required hospital forms.
  • Collect patient’s financial responsibility when required.
  • Provide professional, quality customer service and timely resolution to customer problems.
  • Coordinate services to all customers.
  • Communicate revenue cycle related issues to patients, physicians, and hospital colleagues.
  • Rotate into various areas of Patient Access and work a variety of shifts.

Benefits

  • Medical, Dental, & Vision Coverage.
  • Retirement Savings Program.
  • Paid Time Off.
  • Tuition Reimbursement.
  • Free Parking.

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What This Job Offers

Job Type

Part-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

5,001-10,000 employees

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