Patient Access Rep-Verification & Authorization

Patient Access Representative Verification Authorization

Since 1887, Crouse Health has been a leading healthcare provider located in Central New York. Weve combined a family-friendly culture with a passion to provide the best care, which creates an environment where both patients and team members feel valued. Crouses Patient Access Department promotes patient advocacy and meeting the needs of our patients, visitors, volunteers, and staff in an efficient, timely and courteous manner. In addition, Patient Access strives for excellence in quality and providing an accurate method of patient registration for various points of service throughout Crouse Hospital. The Patient Access team is hiring a Patient Access Representative Verification Authorization.

Position Responsibilities:

• Proficiently responds to incoming department communications and messages via email, fax or phone.
• Effectively obtains and verifies patient demographic and insurance information and authorization for services in a timely manner and documents in patient accounts computer system.
• Routinely verifies insurance eligibility (when necessary) to ensure all pre-certification and authorization requirements are completed with the highest level of accuracy.
• Professionally informs patients of potential cost for services and collects payment prior to services being completed.
• Diligently collects and corrects all outstanding information required for billing purposes.
• Routinely reviews bill hold to ensure completeness and accuracy prior to distribution within the established timeframe.
• Assumes other duties as assigned by department leadership.

Requirements:

• High school diploma or equivalent required.
• Minimum of one (1) year experience in healthcare admitting or patient account receivable follow up, billing, payments, and/or adjustments required, preferably in an inpatient setting or successful completion of a hospital-focused billing certificate program.
• Strong knowledge of MS Office.
• Good working knowledge of all major medical insurance programs and electronic patient account computer systems.
• Must have the ability to pass a business office competency exam with a score of 75% or higher. Testing will be administered by Human Resources.