Access Representative-Full Time-Days

Facility

Betsy Johnson Hospital

Dunn, North Carolina

Patient Access

Clerical

Days (United States of America)

Summary

Obtains accurate and detailed demographic, financial, and clinical information in order to perform accurate and complete admissions / registrations, while exhibiting warmth, compassion and responsiveness to patients, their families and friends, professionals and co-workers with the hospital.

Major Job Functions

The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time :

• Queries EAD and enters patient demographics in computer system to obtain accurate patient medical record and account number
• Communicates Medical Center's Collection Policy and collects outstanding balance amounts, deposits and point of service payments
• Verifies insurance benefits and obtains prior authorizations for those payers that require pre-authorization
• Verifies through Compliance Checker Software all Medicare patient diagnoses to ensure compliance with LMRP guidelines and obtains ABN's as necessary
• Obtains physician orders to support services rendered
• Orders ancillary tests within the order entry system
• Assists insurance companies, physician offices, and other hospital departments with patient information, etc.
• Monitors and coordinates patient placement through bed control functions in a timely and patient focused manner
• Other duties as assigned

Minimum Qualifications

The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job :

Education and Formal Training :

Work Experience :

Knowledge, Skills, and Abilities Required :

Physical Requirements :

Cape Fear Valley Health System is an Equal Opportunity Employer M / F / Disability / Veteran / Sexual Orientation / Gender Identity