Health Access Rep

Job Opportunity At Capital Health

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed minimum pay reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Position Overview

Follows computer system and department operational procedures and training guidelines to obtain accurate demographic, diagnosis, and insurance information on each registration.

Registers established goal of minimum required patients per employee shift as measured by productivity reports.

Presents forms and obtains signatures using approved scripts.

Complies with department procedures and regulatory guidelines for Medicare Secondary Payer, Advance Beneficiary Notice, Advance Directives, and Patients Rights forms.

Follows payer requirements for authorization, pre-authorization, referrals, coordination of benefits forms, and in-network verification according to department procedures and the Insurance Card Database and Insurance Verification guidelines.

Follows Financial Screening and Self Pay Procedure with regards to referrals for Medicaid and Charity Care.

Supports department performance improvement initiatives.

Assists with accurate data collection in support of quality performance improvement initiatives.

Attend all mandatory department meetings.

Follows patient identification policy.

Acts as a resource for Patient Access department.

Acts as a liaison for physician office and ancillary departments.

Minimum Requirements

Education : High school diploma or equivalency.

Experience : One year experience in a healthcare setting or one year customer service experience. Medical terminology and medical insurance knowledge preferred.

Knowledge and Skills : Strong customer service skills. Excellent verbal and written communication skills. Strong interpersonal skills.

Special Training : Basic computer skills.

Mental, Behavioral and Emotional Abilities : Ability to work independently and as a team.

Usual Work Day : 8 Hours

Physical Demands And Work Environment

Frequent physical demands include : Sitting, Standing, Walking, Wrist position deviation, Pinching / fine motor activities, Keyboard use / repetitive motion.

Occasional physical demands include : Climbing (e.g., stairs or ladders), Carry objects, Push / Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat / kneel / crawl.

Continuous physical demands include : Talk or Hear.

Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 10 lbs.

Sensory Requirements include : Accurate Near Vision, Accurate Far Vision, Accurate Depth Perception, Accurate Hearing.

Anticipated Occupational Exposure Risks Include the following : Bloodborne Pathogens, Airborne Communicable Disease, Extreme Noise Levels, Dust / Particulate Matter.

Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.

Company will never ask candidates for social security numbers or date of birth during application phase. If you are asked for this information online, you may be a target for identity theft.

For benefit eligible roles, in addition to cash compensation, we provide a comprehensive and highly competitive benefits package, with a variety of physical health, retirement and savings, caregiving, emotional wellbeing, transportation, robust PTO plan, overtime to eligible roles, and other benefits, including "elective" benefits employees may select to best fit the needs and personal situations of our diverse workforce.

The pay rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and / or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and / or incentive eligibility are determined by role and level.

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.