Patient Access Representative - Admissions

Job Description

Job Description

Description : Job Summary :

To perform patient financial service functions such as scanning, filing, receiving and reviewing correspondence, reviewing third-party and patient billing, and review and resolution of billing questions, at an introductory level. Ensures financial success for University of Mississippi Medical Center through diligent approach to work and attention to detail.

Knowledge, Skills, and Abilities :

Basic knowledge of medical claims processing. Ability to maintain confidentiality. Good verbal and written communication skills. Maintains professional standards. Effective organizational skills. Basic computer skills, including but not limited to proficiency in Microsoft Word and Excel, and basic data entry. Basic knowledge of medical terminology, Basic knowledge of revenue cycle functions, Ability to pay attention to detail, Ability to maintain a professional appearance and attitude, Ability to read, write, type, and follow oral and written directions, Ability to work independently to effectively and efficiently perform assigned duties, and good interpersonal communication and organizational skills, and proven ability to work effectively with others.

Responsibilities :

Engages in core revenue cycle functions such as, billing, claims filing, data entry, charge entry, insurance follow up, denial management, payment posting, customer service, and billing records review.

Maintains strict confidentiality and adheres to all HIPAA guidelines and regulations. Complies with policies, processes and department guidelines for assigned revenue cycle duties.

Prepares and submits clean claims to insurance companies either electronically or by paper in an accurate, timely and compliant manner.

Processes assigned reports, worklists, and patient accounts with high accuracy and attention to detail.

Collaborates with management and co-workers in an open and positive manner.

Communicate with patients regarding their accounts, answer billing questions, and provide information on payment options.

Verify patient insurance coverage and benefits and coordinate with insurance companies to resolve any discrepancies.

The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. Management retains the right to add or change duties at any time.

Physical and Environmental Demands :

Requires occasional exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, occasional handling or working with potentially dangerous equipment, occasional working hours beyond regularly scheduled hours, occasional travelling to offsite locations, no activities subject to significant volume changes of a seasonal / clinical nature, occasional work produced is subject to precise measures of quantity and quality, occasional bending, occasional lifting / carrying up to 10 pounds, occasional lifting / carrying up to 25 pounds, occasional lifting / carrying up to 50 pounds, occasional lifting / carrying up to 75 pounds, occasional lifting / carrying up to100 pounds, no lifting / carrying 100 pounds or more, no climbing, no crawling, occasional crouching / stooping, occasional driving, occasional kneeling, occasional pushing / pulling, frequent reaching, frequent sitting, frequent, standing, occasional twisting, and frequent walking. (Occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more)

Requirements :

Education & Experience :

High school diploma or GED and one (1) year of related revenue cycle experience

Certifications, Licenses or Registration required :

N / A

Preferred Qualifications :

Knowledge of ICD-10 / HCPCS / CPT coding

Basic knowledge of third-party insurance and government insurance plans