Pre-Encounter Rep II - Patient Access Mgmt

JOB SUMMARY JOB SUMMARY — Responsible for scheduling patients for one type of outpatient scheduling, i.e. primary care, specialty care or hospital outpatient departments (HOD). Performs authorization, pre-registration, and insurance verification functions, as assigned. Provides general and specific information to hospital users, patients, families and physician offices. Ensures that patients meet financial requirements. Fosters positive relationships with patients to provide quality service in a pleasant, professional, and timely manner, while being sensitive to guest services. Communicates effectively to service delivery areas to maximize patient flow and customer service. RESPONSIBILITIES Responsible for scheduling patients for one (1) type of outpatient scheduling, i.e. primary care, specialty care or hospital outpatient departments (HOD). Performs authorization, pre-registration, and insurance verification functions, as assigned. Provides general and specific information to hospital users, patients, families and physician offices. Ensures that patients meet financial requirements. Fosters positive relationships with patients to provide quality service in a pleasant, professional, and timely manner, while being sensitive to guest services. Communicates effectively to service delivery areas to maximize patient flow and customer service. TYPICAL PHYSICAL DEMANDS Essential: standing, sitting, walking, stooping/bending, walking on uneven ground, squatting, twisting body, finger dexterity, seeing, hearing, speaking, lifting and carrying up to 20 lbs, pushing/pulling usual weight of 15 to 20 pounds, reaching at and below shoulder level, repetitive arm/hand motions and gripping of an object. Occasional: kneeling, crawling, climbing stairs, reaching above shoulder level. Operates various office equipment such as computers, copiers, facsimiles, telephone, typewriter, pneumatic tube system, credit card swipe. TYPICAL WORKING CONDITIONS Not substantially subjected to adverse environmental conditions. Work pace varies and is frequently stressful. MINIMUM QUALIFICATIONS A. EDUCATION/CERTIFICATION AND LICENSURE High school diploma or equivalent. B. EXPERIENCE One (1) year patient access experience in a hospital or physician office setting. Prior experience in insurance verification and registration. Knowledge and understanding of different payor types (i.e. Medicare, Medicaid, Commercial, HMO, Workers’ Compensation, Capitation, TPL, etc.). Knowledge of medical terminology. Strong time management, organizational, and interpersonal skills. Ability to communicate effectively in English, both orally and in writing. Proficiency with automated systems and computer applications. #J-18808-Ljbffr