Representative, Patient Access - Midnights

Overview

Accountability Objectives: Responsible for performing the Patient Access process, completing accurate registration and pre-registration process and insurance verification for eligibility, scheduling for various departments procedures/appointments, entering patient data for services for departments participating in PHS (Pathways Healthcare Scheduling), coordinating multiple services in proper sequence, and informing patient/doctor's office as to preparations and insurance requirements for each service. Collaborates with multiple departments to best utilize equipment and facilities, while accommodating physician preference and patient needs.

Displays a courteous, professional manner, proactively developing customer relationships and giving high priority to customer satisfaction. Provides patient focused customer service. Performs outpatient & / or inpatient registration & insurance verification functions; collects patient financial liability payments & ensures that patients meet financial requirements including Medicare medical necessity, payer pre-certifications & referrals. Provides general information to hospital users, patients, families & physician offices.

• Perform the Patient Access process including accurate registration and pre-registration, and insurance verification for eligibility.
• Schedule procedures/appointments for various departments.
• Enter patient data for services for departments participating in PHS (Pathways Healthcare Scheduling).
• Coordinate multiple services in proper sequence and inform patients/doctors offices of preparations and insurance requirements for each service.
• Collaborate with multiple departments to utilize equipment and facilities while accommodating physician preference and patient needs.
• Provide courteous, professional customer service and proactively develop relationships to prioritize customer satisfaction.
• Perform outpatient and/or inpatient registration and insurance verification; collect patient financial liability payments and ensure financial requirements including Medicare medical necessity, payer pre-certifications and referrals are met.
• Provide general information to hospital users, patients, families and physician offices.

• High school diploma or equivalent.
• HFMA CRCR or NAHAM CHAA certifications required within one (1) year of hire.

• Medical terminology required and knowledge of diagnostic and procedural coding.
• Insurance verification with the ability to explain benefits and secure necessary authorizations.

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.