United States Job Openings
West Tennessee Healthcare
Patient Access Representative II
Jackson
FULL TIME
October 24, 2024
- Ensures that proper insurance payer plan choice and billing address are assigned in the automated patient accounting system.
- Financial Clearance - Contacts payers to verify insurance eligibility.
- Refers to the designated area if medical necessity fails or if referrals /authorizations are denied.
- Pre-Service/ Point of Service Collection - Interprets third-party payer policies to establish patient financial liabilities and work with patients so they understand their patient financial responsibilities.
- Collect co-payments, co-insurance, and deductibles according to pre-service/ point of service collections policies and procedures.
- Communication & Miscellaneous - Advises next-level leader of possible postponement or deferrals of any elective/non-emergent admission which has not been approved prior to service date.
- Maintains accurate files for pre-processing information as required.
- Demonstrates excellent communication skills and the ability to work with all levels of staff to resolve urgent issues in a prompt and professional manner.
- Investigates, resolves, and documents patient problems and contact medical staff, nursing staff, ancillary departments, and administration as necessary.
- Assists with cross training function in areas within Patient Access Services.
- Performs related responsibilities as required or directed.
- High School Graduate, or equivalent
- N/A
- 2-3 years of health care or related experience required
- Demonstrate proficiency and ability performing the following functions: Financial Clearance, Financial Counseling, Scheduling, Registration, ED Registration, and Patient Access.
- Understanding of healthcare business and finance principles with special emphasis on hospital and physician access services.
- Demonstrated knowledge of healthcare management, registration, billing, and collection processes for government, grant, and non-government funding sources.
- Demonstrated detailed working knowledge of Patient Access procedures and healthcare reimbursement to include familiarity with various payer mixes.
- Comfort with data entry within Revenue Cycle software, patient management systems and Windows-based applications preferred.
- Strong experience with patient accounting systems and knowledge of word processing and spreadsheet applications.
- Strong interpersonal skills and the ability to work through a variety of issues in a diplomatic fashion required.
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, disability, religion, national origin, gender, gender identity, gender expression, marital status, sexual orientation, age, protected veteran status, or any other characteristic protected by law.
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