Patient Access Representative II

Medical University of South Carolina • Charleston, SC

1d • Onsite

About The Position

The Patient Access Representative II, reporting to the Patient Access Manager, provides a high level of customer service while verifying and preparing patient accounts for inpatient and outpatient billing to maximize payment for Hospital and Clinic services. This role involves verifying payment methods, patient/insurance information, assisting patients with payment arrangements and assistance programs, collecting copayments and deductibles, and resolving basic billing inquiries.

Requirements

• Excellent customer service skills
• Ability to receive and express detailed information through oral and written communications.
• Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors
• Knowledge of insurance plans and benefits
• Computer literate and able to operate in multiple applications such as Microsoft Office
• Minimum typing skills of 35-40 wpm (certified typing test results required)
• Requires eye-hand coordination and manual dexterity
• Requires the use of office equipment, such as computer terminals, telephone, and copiers
• Knowledge of medical terminology.
• Able to handle multiple tasks simultaneously.
• Ability to work weekends, Friday, Saturday, and Sunday.
• Must be flexible and able to work flex and staggered shifts
• Associate Degree or High School Diploma with 2 years of customer service experience
• Bachelor’s degree from an accredited college/university; or a high school diploma or equivalent (GED) and two years of work experience in a Medical Office, Call Center, and/or customer service business environment and a minimum of 6 months satisfactory work experience in MUHA Patient Access, or at least 6 months of medical related work experience is required.

Nice To Haves

• Patient Access Certification (preferred)
• One (1) year relevant experience in a medical office or hospital preferred.

Responsibilities

• Consistently confirm, enter, and/or update all required demographic data on patient and guarantor in registration system(s) daily to achieve maximum payment.
• Secure and/or explain copies of insurance card(s), forms of ID, and signature(s) on all required forms and scan them into the appropriate imaging documentation system.
• Consistently complete the Medicare Secondary Payer (MSP) questionnaire, if applicable.
• Discuss Advanced Directives with patients and obtain a copy for the patient’s record, if available.
• Review all other regulatory forms and information with the patient, such as Notice of Privacy Practice and Billing information.
• Verify insurance using Real Time Eligibility, Payer Website, or phone number to determine coordination of benefits and obtain authorization and/or referrals as required.
• Follow procedures to accurately identify a patient and apply the patient identification bracelet, if applicable.
• Register patients during downtime following downtime procedures and enter data into registration system immediately upon system availability.
• Perform Service Recovery as needed at the point of service with patients and visitors.
• Verify financial information to determine insurance coordination of benefits, pre-certification/prior-authorization requirements by contacting the insurance company or through other verifying technology.
• Inform self-pay patients of prepayment requirements or screen for funding sources.
• Prepare estimate of procedures, calculate advance payment requirements, and inform patient of acceptable payment arrangements on previous and current balances.
• Refer potentially eligible patients to contract eligibility vendor(s) to pursue funding reimbursement.
• Coordinate with clinical areas to establish patient financial expectations and assist in the resolution of revenue cycle issues.
• Maintain up-to-date knowledge, requirements, and skills to perform daily duties and meet key performance metrics for the facility, unit, and payers.
• Consistently collect patient payments and provide receipts, accurately completing all required fields.
• Call patients prior to the date of service to inform them of their expected financial liability, educate them on their respective benefits, and accept payment over the phone if the patient agrees.
• Coordinate with appropriate providers when payment is unable to be collected from the patient.
• Secure a waiver for services if necessary.
• Accurately post all payments on the system.
• Accurately reconcile receipts with cash collected and complete required balancing forms at the end of their shift.

Benefits

• Medical University of South Carolina participates in the federal E-VERIFY program to confirm the identity and employment authorization of all newly hired employees.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 501-1,000 employees