Patient Services Rep III
Full-time
Savista
:
Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Title: PSR3 FCC Division: Savista - GWMFA Department: Financial Clearance Center Reports to: Supervisor, FCC Location: Remote FLSA Status: Non-Exempt Job Code: Updated: November 2025 Company Overview Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Job Purpose The Patient Access Representative facilitates all components of patient registration. This includes obtaining all necessary demographic and financial information to ensure accurate patient data is populated into the patient record. This role is also responsible for patient contact and representing Savista in a professional manner. Duties & Responsibilities - Process and verify administrative and financial components of financial clearance including validation of insurance benefits, medical necessity, routine and complex pre-certification, prior authorization, scheduling and pre-registration, patient benefit and cost estimates, and pre-collection of out-of-pocket cost share.
- Obtain pre-certifications, authorizations, and referrals for upcoming appointments.
- Communicate recommended changes to schedules and care planning to ensure alignment with authorization requests and payor compliance.
- Liaison between patient, insurance payors and providers to obtain prior authorization for prescheduled services.
- Effectively address issues and offer information and support to both patients and physicians concerning financial clearance matters.
- Process stat request prioritization
- Verify demographic information.
- Apply payor changes to registration.
- Verify, edit and/or remove user defined referral counts editing final status of referrals.
- Edit the scheduled date within the referral, pend referrals to any pools, suppressing expiring referrals messages, accessing assigned referral work queues, defer/activate referral work queue items, use referral templates.
- Apply critical thinking skills to identify and resolve problems proactively.
- Attend required trainings.
- Multidepartment responsibility and inclusion of the ability to work in multiple financial divisions and manage a higher level of complexity in requests for prior authorization or clearance.
- Charge Review intervention to mitigate payor denials.
- Collaboration with client administrative personnel, clinical departments, external providers, third party insurers and any other individual or entity to assist in resolving patient financial clearance questions or problems in the most effective and positive manner possible.
- Meets and exceeds department goals including accuracy, point of service collections and productivity.
- Responsible to review all work queues daily and take the required actions to update the information, correct errors and ensure account accuracy for billing.
- Provide training and direction in any area of expertise with onboarding new colleagues.
- Redirection with colleague and virtual chairside refresher trainings.
- Attend and collaborate on client calls.
Qualifications & Competencies - High School Diploma or equivalent is required.
- Minimum 5 years of experience working within the registration process in a hospital or physician office setting, including demonstrated success obtaining patient demographic and financial information, handling insurance verification and obtaining authorizations.
- Knowledge of medical and insurance terminology
- Proficient with commercial and government insurance plans, payer networks, government resources, and medical terminology.
- Ability to understand, interpret, evaluate, and resolve basic customer service issues.
- Ability to work independently and as part of a team.
- Strong attention to detail and accuracy
- Ability to work with a variety of stakeholders.
- Intermediate analytical skills to resolve problems and provide patient and referring physicians with information and assistance with financial clearance issues.
- Excellent verbal communication, telephone etiquette, interviewing, and interpersonal skills to interact with peers, superiors, patients, and members of the healthcare team and external agencies.
- Demonstrated ability to navigate Internet Explorer and Microsoft Office programs.
- Experience working in a role that requires prioritization of multiple critical priorities while ensuring quality and achievement of performance metrics.
- Demonstrated ability to meet or exceed performance metrics.
Savista is an Equal Opportunity Employer and ensures its employment decisions comply with principles embodied in Title VII, the Age Discrimination in Employment Act, the Rehabilitation Act of 1973, the Vietnam Veterans Readjustment Assistance Act of 1974, Executive Order 11246, Revised Order Number 4, and applicable state regulations. SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class. California Job Candidate Notice
Vacancy posted 1 day ago
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