Patient Access Representative, Resource Pool

Self Regional Healthcare • Greenwood, SC

17h

About The Position

Responsible for performing scheduling, pre-certification, benefit verification and pre-certification. Requires fast response to customer needs, independent judgement, ingenuity and initiative in utilization of computers and other equipment. Works with staff and understand appropriate scheduling processes and how processes affect ancillary departments. Conducts patient and guarantor interviews for inpatient, outpatient and emergency care registration, Explains hospital policies and financial responsibilities and obtains all required signatures. Ensures that all demographic and financial data is obtained and entered in the EPIC system in an accurate and timely manner. Ensures that pre-certification and/or authorization is obtained to comply with insurance company policies. Determines estimated patient financial responsibility through verified insurance benefits, co-pays and deductibles and calculates estimated self-pay portions to be collected at time of registration. Controls the main line of communication with physicians, nursing, clinical staff, non-clinical staff and Patient Access Department to ensure appropriate patient scheduling for proper entry into and through the health care system. Performs all other duties as assigned by the management team.

Requirements

• High School Diploma or equivalent
• Strong Customer service experience
• Ability to communicate effectively both orally and in writing
• Working knowledge of medical terminology ICD-10 and CPT Coding
• Ability to build productive internal and external working relationships
• Basic analytical skills
• Strong organizational skills and attention to detail
• Ability to handle challenging customers in a professional manner

Nice To Haves

• General knowledge and experience in the healthcare industry is preferred

Responsibilities

• Performing scheduling, pre-certification, and benefit verification.
• Conducting patient and guarantor interviews for registration.
• Explaining hospital policies and financial responsibilities.
• Obtaining all required signatures.
• Ensuring accurate and timely entry of demographic and financial data in the EPIC system.
• Obtaining pre-certification and/or authorization to comply with insurance company policies.
• Determining estimated patient financial responsibility and calculating estimated self-pay portions.
• Controlling communication with various departments to ensure appropriate patient scheduling.
• Performing other duties as assigned by the management team.

What This Job Offers

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