Senior Patient Access Representative | 40hrs/week

Sanford Health•Gillette, WY

3d•$18 - $26

About The Position

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. The Senior Patient Access Representative serves as a liaison between patients, families, physicians and medical support staff. Job Description Specific duties vary by location and may include the following: Collaborates with multi-disciplinary team to ensure medical services are appropriately scheduled for patient. Requires depth of knowledge of service line to proficiently review procedure/surgery orders, as well as appropriately schedule all necessary resources to perform the procedure/surgery. Responsible for resource management and resolving conflicts. Serves as a liaison between provider and supporting providers. Manages provider schedules. May collaborate with patients and providers to demonstrate medical necessity to insurance companies and obtain required prior authorization. May perform registration duties and work the front desk. May train and mentor new employees. May serve as an electronic medical record (EMR) super user. Displays professionalism and promotes an atmosphere of mutual respect and cooperation. Must be able to work independently, as well as part of a team. Must always maintain confidentiality of sensitive information. Uses problem solving and critical thinking skills to resolve issues and seeks guidance from leadership when appropriate. Must demonstrate proficiency in computer skills and use of multi-line telephone.

Requirements

High school diploma or equivalent preferred; post-secondary education helpful.
Previous medical office experience preferred.
Prior electronic medical records (EMR) experience is preferred.
Must have knowledge of medical terminology; customer service skills essential.
Six months' customer service experience desired.

Responsibilities

Collaborates with multi-disciplinary team to ensure medical services are appropriately scheduled for patient.
Requires depth of knowledge of service line to proficiently review procedure/surgery orders, as well as appropriately schedule all necessary resources to perform the procedure/surgery.
Responsible for resource management and resolving conflicts.
Serves as a liaison between provider and supporting providers.
Manages provider schedules.
May collaborate with patients and providers to demonstrate medical necessity to insurance companies and obtain required prior authorization.
May perform registration duties and work the front desk.
May train and mentor new employees.
May serve as an electronic medical record (EMR) super user.
Displays professionalism and promotes an atmosphere of mutual respect and cooperation.
Must be able to work independently, as well as part of a team.
Must always maintain confidentiality of sensitive information.
Uses problem solving and critical thinking skills to resolve issues and seeks guidance from leadership when appropriate.
Must demonstrate proficiency in computer skills and use of multi-line telephone.
Greet patients & verifies demographics
Creating, scanning & routing documents or electronic forms
Inform patients what the document is & capture signatures on necessary paperwork
Establishes and assigns financial responsibility and assists with arrangements while adhering to appropriate policies and procedures
Collects co-payments, pre-payments, and payments on account balances
May work through the registration work queue to address and resolve registration errors or denied insurance claims
Work with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule
Obtain and coordinate referrals & conduct pre-authorization
Arrange interpreter services
Check patients in/out
Operate multi-line phone
May resolve work queue issues, manage recall and waitlists, & serve as switchboard operator calling codes and paging providers
Preparation & coordination of charts
Organize supporting provider documents
Initiation & collaboration of patient financial assistance
Track patient visits & health information management on patient accounts
Compile, distribute, administer, and score assessments
Coordination of Telemed appointments
Reminder calls for appointments
Hospital admission
Office duties, such as make copies or send faxes