Senior Patient Access Services Representative (NY HELPS) - FT - Day Shift

ECMC • Buffalo, NY

4d

About The Position

The Senior Patient Access Services Representative performs basic and complex Patient Access Services Representative activities at Erie County Medical Center Corporation (ECMCC). The role serves as a non-supervisory technical lead, monitoring workflow and adjusting work assignments to distribute work equitably according to volume and complexity. It differs from the Patient Access Services Representative role through increased responsibility and more difficult assignments. The position works under the direct supervision of the Patient Access Services Manager; supervision of others is not part of the role.

The position may be filled through the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). During the program, appointment may be non-competitive without an examination, provided candidates meet the title’s minimum qualifications. The posting states that within one year of permanent appointment, NY HELPS employees are expected to convert to competitive status without taking a civil service test and receive the rights and privileges of competitive-class employees. While permanently serving in a NY HELPS title, employees may participate in qualifying promotion examinations.

Requirements

• Meet one of the following minimum qualification pathways: 60 college credit hours or an associate’s degree and one year of qualifying clerical experience; high school graduation or equivalency and two years of qualifying clerical experience; or high school graduation or equivalency and a Medical Assistant, Medical Administrative Assistant, or Certified Medical Office certificate.
• Qualifying clerical experience must be in patient admissions, patient registration, patient appointment scheduling, health insurance verification, health insurance eligibility, or health insurance processing in a healthcare or third-party payer setting.
• A bachelor’s degree may substitute for one year of required qualifying experience.
• Degrees must be from an institution accredited by an agency recognized by the U.S. Department of Education; foreign degrees require independent equivalency verification.
• Verifiable part-time and/or volunteer experience is prorated toward full-time experience requirements.
• Knowledge of patient registration, patient scheduling, health insurance eligibility, and insurance verification and eligibility in a hospital setting.
• Knowledge of applicable laws, rules, regulations, and accreditation standards related to patient registration, scheduling, health insurance eligibility, and insurance verification in a hospital setting.
• Knowledge of third-party payers and their respective guidelines; working knowledge of medical terminology.
• Strong customer service and interviewing skills.
• Ability to monitor patient access workflow and adjust assignments for effectiveness and efficiency; interpret technical work issues and develop appropriate actions; audit technical work; coordinate with other departments; and operate a bed board assignment system.
• Ability to use an alphanumeric keyboard, perform basic mathematical functions, communicate effectively orally and in writing, establish and maintain effective working relationships with a diverse constituency, and use a variety of electronic software applications.
• Sound professional judgment and ability to perform the essential functions of the position with or without reasonable accommodation.

Responsibilities

• Monitor Patient Access Services Representatives’ work assignments and adjust workflow and assignments to distribute work equitably based on workload volume and complexity.
• Receive technical work issues from staff and develop solutions; escalate complex issues and matters outside the role’s responsibility to higher-level staff.
• Monitor work for compliance with applicable laws, rules, regulations, HIPAA and privacy standards, departmental policies and procedures, quality assurance objectives, safety, environmental, and infection control standards.
• Audit work performed by Patient Access Services Representatives as needed.
• Serve as a central resource for staff and patients.
• Perform Patient Access Services Representative work activities.
• Correct registration insurance denials and report discrepancies and other findings to a supervisor or higher-level Revenue Cycle leadership.
• Perform and coordinate with applicable departments on patient health insurance eligibility work, including obtaining and verifying preauthorization approvals, addressing authorization errors, and entering information into the electronic computerized system.
• Operate the bed board system to assign beds according to cohort specifications and handle hospital transfers, direct admissions, and other bed board functions based on assigned work location.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree