Patient Access Representative-Case Management

Description

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

UNC Health Nash, an affiliated member of the UNC Health system, invites passionate healthcare professionals to join our esteemed team. Governed locally, we proudly serve a diverse patient base, spanning Nash, Edgecombe, Halifax, Wilson Counties, and beyond. With a steadfast commitment to elevating community health through exceptional care, we prioritize excellence, compassion, and innovation, ensuring every individual receives the highest standard of support. Joining our team means becoming an integral part of our dedication to wellness, where we constantly strive to redefine excellence in healthcare through state-of-the-art facilities and pioneering programs. Join us in this transformative journey, where your contributions will make a lasting impact on our community's health and wellbeing.

Summary:

The Patient Access Representative is responsible for the Patient Access functions including, but not limited to, facility/clinic-based scheduling, pre-registration, registration, insurance verification, pre-certification, and financial clearance under the direction of Director of Transitional Care and Population Health.

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 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.

6. Optimizes scheduling to ensure productivity measures are met.

7. Uses patient specific information to schedule appropriate visit type, location, cadence and assists with any pre-appointment coordination.

8. Supports existing health services; provides integrated health services in partnership with other health professionals; extends access to health services delivery in underserved and general populations, including primary care, public health, disease management, prevention and wellness, mental health, and dental health; and performs other duties as required.

Other information:

Other Information:

Education Requirements:

• High school graduate or GED.
• Associates or Bachelor's degree in Arts/Business is preferred.
• Completion of NC Standard Core Competency training for Community Health Workers within 6 months of hire

Licensure/Certification Requirements:

• Must complete EPIC Cadence and Prelude training & must pass exam upon completion of training.
• Community Health Worker Certification within 6 months of hire

Professional Experience Requirements:

• Proficiency in computer skills, including Microsoft Office.
• Customer-service oriented and proficient in written & oral communications.

• Familiarity with medical terminology.

Legal Employer: Nash Hospitals

Entity: Nash UNC Health Care

Organization Unit: NGH Case Management

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Assignment Type: Onsite

Work Schedule: Day Job

Location of Job: NASH HC

Exempt From Overtime: Exempt: No