Patient Relations Specialist - Walter B. Jones Center

State of North Carolina•Pitt County, NC
•Onsite

About The Position

The Patient Relations Specialist at the Walter B. Jones Center works closely with Admissions and Utilization Review staff to verify patients’ personal and financial information. The role verifies Commercial Insurance, Medicare, and Medicaid benefits and assists with submitting and obtaining admission and continued-stay authorizations. The specialist works with patients to establish payment agreements and answer questions about their insurance or financial files. The position enters patient information into the Epic EHR and monitors and updates patient accounts throughout their stay. Work is onsite Monday through Friday, 8:00 AM to 5:00 PM.

Requirements

  • High school diploma or GED and two years of related administrative experience, or an equivalent combination of education and experience.

Nice To Haves

  • Knowledge of medical and allied health sciences needed to use screening criteria and compare them with documentation in records to obtain insurance authorizations.
  • Ability to use correct grammar, vocabulary, spelling, and medical office terminology to compose or proofread correspondence, reports, and other materials.
  • Ability to learn and independently apply laws and departmental rules and regulations covering programs and services.
  • Ability to review and process information to determine calculations, actions, or compliance with applicable laws, rules, or regulations.
  • Knowledge of the Epic EHR system.
  • One year of experience in insurance and/or authorizations in a medical office or facility.

Responsibilities

  • Verify patients’ personal and financial information.
  • Verify Commercial Insurance, Medicare, and Medicaid benefits.
  • Assist with submitting and obtaining admission and continued-stay authorizations.
  • Work with patients to establish payment agreements.
  • Answer patients’ questions about their insurance or financial files.
  • Enter patient information into Epic EHR.
  • Monitor and update patient accounts throughout patients’ stays.
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