Pre-Encounter Rep II - Access Center (Full-Time, 40, day)

RESPONSIBILITIES

Effective Date:

10/22 I.

JOB SUMMARY/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.

II. 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.

III. TYPICAL WORKING CONDITIONS

• Not substantially subjected to adverse environmental conditions.
• Work pace varies and is frequently stressful.

IV. 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.

Equal Opportunity Employer/Disability/Vet