Access Representative, Central Registration, Full-Time, First

Access Representative, Central Registration, UCGNI Outpatient Therapy

The Access Representative will create accounts from scheduling appointments and attempt to obtain demographic and insurance information as indicated in the Pre-Registration process. They will complete all required documentation and prioritizes all insurance coverage as primary, secondary, tertiary. Quality of registration data collected for the organization impacts revenue/reimbursement time.

About University of Cincinnati Medical Center

As part of the Clifton Campus of UC Health, Greater Cincinnati's academic health system, University of Cincinnati Medical Center has served Greater Cincinnati and Northern Kentucky for nearly 200 years. Each year, hundreds of thousands of patients receive care from our world-renowned clinicians and care team. Our experts utilize the most advanced medical knowledge and technology available, providing a level of specialty and subspecialty medical care that is not available anywhere else in Greater Cincinnati.

UC Medical Center is also home to medical breakthroughs- our physician experts conduct basic, translational and clinical research, leading to new therapies and care protocols, and connecting patients to the latest and most advanced treatments. UC Medical Center houses Greater Cincinnati's only Level I adult trauma center, which includes the right mix of specialist and medical resources available at a moment's notice for a wide variety of the most complex medical conditions and injuries.

Responsibilities

• Create Epic accounts from scheduling appointment. Attempt to obtain demographic and insurance information as indicated in the Pre-Registration Minimum Data Set, Documentation Standards and Situation Response Guidelines to create, update and secure accounts. Screens and completes all required documentation and prioritizes all insurance coverage's as primary, secondary, tertiary. Completes required MSP questionnaires for all appropriate patients.
• Answer questions regarding patient's appointment or transfer to the appropriate scheduling department, service area, or physician office.
• Properly codes Daily Worklist according to Worklist Coding Standards appropriate to the specific account situation. Effectively organizes prioritization of Daily Worklist task. Ensures Worklist coding is consistent with documentation in LastWord. Secures all applicable accounts in timely manner as defined by Due Diligence Standard while maintaining department productivity and quality standards.
• Must maintain facility established productivity standards and Patient Accounts Quality Guidelines. Reports improvements, problems and changes as it relates to insurance verification to Department Management. Performs other duties as assigned in Access Unit Department.

Qualifications

• High school diploma or GED required.
• Analytical skills; able to problem solve.
• Computer Literacy
• Excellent communication, problem solving skills, and ability to deal with customers who are often adversarial.
• Ability to interact independently to resolve customer service issues.
• 1-3 years of experience in registration, billing, customer service, or managed care organization preferred.

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