Patient Access Representative

Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:

The Patient Access Representative is responsible for the Patient Access functions including, but not limited to, facility-based scheduling, pre-registration, registration, insurance verification, pre-certification, and financial clearance under the direction of the Supervisor and Revenue Cycle Director.

Responsibilities:
1. Ensures and verifies key ADT information (insurance verification, patient and guarantor demographics, etc.) is current and accurate to ensure patient safety, charging, coding, insurance processing, and billing accuracy.
2. Completes and documents all governmental, regulatory, financial, and contractual forms in accordance with procedure, and ensures documents are scanned/saved to correct location and are legible.
3. Utilizes price estimation tool, when applicable, as part of the registration process to provide the most accurate estimate to patients.
4. Meets departmental target for up front collections to include deposits, estimated amounts due, co-pays, and/or prior balances.
5. Actively participates in departmental QA by utilizing system work queues, making a personal effort to reduce individual errors, and making corrections. Also utilizes system work queues as a daily part of the registration process to minimize errors.

Other information:
1. High school graduate or equivalent.
2. Associates or Bachelor's degree in Arts/Business is preferred.
3. Must complete EPIC Cadence and Prelude training & must pass exam upon completion of training.
4. Proficiency in computer skills, including Microsoft Office.
5. Customer-service oriented and proficient in written & oral communications.
6. Familiarity with medical terminology.
7. Incumbent will be required to work every other weekend/as needed, three (3) out of six (6) holidays as needed, and rotating scheduling/shifts based on department staffing needs.

Legal Employer: Nash Hospitals

Entity: Nash UNC Health Care

Organization Unit: NGH Registration Discharge

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Assignment Type: Onsite

Work Schedule: Variable

Location of Job: NASH HC

Exempt From Overtime: Exempt: No