Patient Access Representative

UnitedHealth Group•Cobleskill, NY

5d•$16 - $29•Onsite

About The Position

The Patient Access Representative welcomes, greets, interviews patients and/or representatives in person or over the telephone to ensure their initial experience with the hospital is exceptional. The Patient Access Representative will also obtain the required demographic and insurance information to ensure proper billing/reimbursement to the hospital. Secure required signatures from patients and/or representatives to protect hospital’s interests. Provides excellent patient experience for guests with a high level of professionalism.

Requirements

High School Diploma/GED
1+ years of customer service experience
Ability to work onsite at our Cobleskill, NY facility
Ability to work from 8:00am - 4:30pm, Monday - Friday
Access to reliable transportation and a valid US driver’s license
Must be 18 years of age or older
Basic keyboarding skills
Strong interpersonal, communication and customer service skills

Nice To Haves

1+ years of experience in scheduling and authorizations
Healthcare experience and clinical knowledge
Ability to work night and weekend hours
Ability to engage and effectively communicate with individuals and groups of adults at all levels within the organization
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 skills and interpersonal skills

Responsibilities

Communicates directly with patients and / or families either in person or on the phone to complete the registration process by collecting patient demographics, health information, and verifying insurance eligibility / benefits
Utilizes computer systems to enter access or verify patient data in real - time ensuring accuracy and completeness of information
Gathers necessary clinical information and processes referrals, pre-certification, pre-determinations, and pre-authorizes according to insurance plan requirements
Verifies insurance coverage, benefits, and creates price estimates, reverifications as needed
Collects patient co-pays as appropriate and conducts conversations with patients on their out-of-pocket financial obligations
Identifies outstanding balances from patient’s previous visits and attempts to collect any amount due
Responsible for collecting data directly from patients and referring to provider offices to confirm and create scheduled appointments for patient services prior to hospital discharge
Responds to patient and caregivers' inquiries related to routine and sensitive topics always in a compassionate and respectful manner
Generates, reviews, and analyzes patient data reports and follows up on issues and inconsistencies as necessary
Maintains up-to-date knowledge of specific registration requirements for all areas, including but not limited to: Main Admitting, OP Registration, ED Registration, Maternity, and Rehabilitation units