Patient Access Representative

UnitedHealth Group•Oneonta, NY

5d•$16 - $29•Onsite

About The Position

The Patient Access Representative welcomes and interviews patients and/or their representatives in person or by telephone to provide an exceptional initial hospital experience. The role collects demographic, health, and insurance information to support accurate billing and reimbursement, obtains required signatures to protect the hospital’s interests, and delivers professional, compassionate service to patients and guests. The position is onsite at Fox Hospital Oneonta and A.O. Fox Hospital – Tri-Town Campus. Four to six weeks of on-the-job training are provided; training hours are based on the schedule or discussed on the first day of employment.

Requirements

High school diploma or GED.
At least 1 year of customer service experience.
Ability to work onsite at 1 Norton Ave, Oneonta, NY 13820 (Fox Hospital Oneonta) and 43 Pearl St W, Sidney, NY (A.O. Fox Hospital – Tri-Town Campus).
Ability to work 8-hour shifts Monday through Friday between 7 AM and 5 PM, with rotating weekends.
Must be at least 18 years old.
Ability to engage and communicate effectively with individuals and groups of adults at all organizational levels.
Ability to build rapport quickly, develop trust, sustain working relationships, and represent CRH positively in internal and external meetings.
Strong time-management and organizational skills.
Effective communication and interpersonal skills, including strong customer service skills.
Basic keyboarding skills.
Ability to stand for extended periods (up to 10 hours) while using a workstation on wheels and phone/headset.
Must pass a drug test before beginning employment.

Nice To Haves

At least 1 year of experience in scheduling and authorizations.
Healthcare experience and clinical knowledge.
Ability to work night and weekend hours.

Responsibilities

Communicate with patients and/or families in person or by phone to complete registration, collect demographic and health information, and verify insurance eligibility and benefits.
Enter or verify patient data in computer systems in real time, ensuring accuracy and completeness.
Gather clinical information and process referrals, pre-certifications, pre-determinations, and pre-authorizations according to insurance plan requirements.
Verify insurance coverage and benefits, create price estimates, and complete reverifications as needed.
Collect patient co-pays when appropriate and discuss patients’ out-of-pocket financial obligations.
Identify outstanding balances from previous visits and attempt to collect amounts due.
Collect information from patients and referring provider offices to confirm and create appointments for services before hospital discharge.
Respond to patient and caregiver inquiries, including sensitive topics, compassionately and respectfully.
Generate, review, and analyze patient data reports and follow up on issues and inconsistencies.
Maintain current knowledge of registration requirements for areas including Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units.

Benefits

$2,000 sign-on bonus for external applicants only.
Paid Time Off accrued starting with the first pay period, plus 8 paid holidays.
Medical plan options and participation in a Health Spending Account or Health Savings Account.
Dental, vision, life and AD&D insurance, short-term disability, and long-term disability coverage.
401(k) savings plan.
Employee Stock Purchase Plan.
Education reimbursement.
Employee discounts.
Employee Assistance Program.
Employee Referral Bonus Program.
Voluntary benefits, including pet insurance, legal insurance, and long-term care insurance.
Performance rewards and incentive and recognition programs.
Comprehensive benefits package, subject to eligibility requirements.