Senior Acute PAS Representative

Overview

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As a Patient Access Services Representative, you will be the vital first point of contact for patients entering our care. Whether it’s a warm greeting at the front desk or expertly navigating insurance details, your impact will be felt from the very first moment.

The Senior Acute Patient Access Services Representative provides mentoring, training and ongoing guidance as needed for a Patient Access team. Additionally, Senior Representatives will function as the primary resource/SME for team member workflow questions and concerns. You will be responsible for insurance verification, patient check in, collections and will be an additional extension of leadership.

• Thrive in fast-paced environments (like ERs, clinics, or specialty care).
• Have stellar communication skills and a high emotional IQ.
• Are detail-oriented, tech-savvy, and a natural problem-solver.
• Have strong sense of urgency, ability to prioritize and handle multiple tasks at once, along with excellent follow through skills are required.

We are looking for someone who demonstrates strong leadership skills and can confidently guide and support the team. Ideal qualities include the ability to:

• Keep the team focused and on task
• Train and mentor new hires with confidence
• Work independently to complete reports alongside regular workflow
• Handle escalated patient concerns professionally and de-escalate tense situations
• Have a solid understanding of payment hierarchy and be able to clearly explain balances to patients
• Enforce collection policies with professionalism and firmness

This role requires someone who leads by example and can balance team support with operational responsibilities.

Wednesday - Saturday 6am-4:30pm

On-call shifts and Holidays may be required.

This position is the first point of contact at healthcare facilities and assists patients with the administrative aspect of gaining access to medical treatment. This position is in a hospital-based setting which includes Emergency Dept, Inpatient, Obstetrics, Outpatient, etc. Responsible for in person patient intake and registration, providing superior customer service, accurately identifying, and obtaining authorizations for patients’ insurance, verifying eligibility and benefits, generating patient estimates for services rendered, financial counseling, and collecting patient liability.

Demonstrates the ability to resolve customer issues and provides excellent customer service. This position provides mentoring, training and ongoing guidance for a Patient Access team. Additionally, Senior Representatives will function as the primary resource/SME for team member workflow questions and concerns.

• Verifies patient’s demographics and accurately inputs this information into EHR, including documenting the account thoroughly to maximize reimbursement and minimize denials/penalties from the payor(s).
• Proficiency with multiple services including, but not limited to inpatient, observation, emergency, obstetrics, surgery, imaging. This position may cover services 24/7.
• Demonstrates a thorough understanding of insurance guidelines for all services. Proficiently verifies, reads, and understands insurance benefits.
• Demonstrates proficient understanding that this position creates the first impression for our patient’s experience with Banner Health. Demonstrates a positive patient experience through interactions and effective communication.
• Proficient understanding of payer authorization guidelines. Accurately submits timely notification according to insurance guidelines using various systems to reduce/eliminate denials. Consistently meets all registration related key performance indicators as determined by management.
• Obtains federal/state compliance information, consents and documentation required by the patient’s insurance plan(s). This includes a thorough understanding of accurately completing hospital-based compliance forms required by CMS.…