Patient Access Representative

Job Description

Job Description

Description :

Job Description : To perform timely and accurate patient throughput functions such as financial screening including utilizing systems and other means to verify eligibility, benefits, and medical necessity, obtaining prior authorization, calculating and collecting co-pays and other out-of-pocket- amounts due from patients, register and schedule patients, checking patients in and out, and generally ensuring data requirements for patient demographics, insurance coverage and financial clearance are met with a high degree of reliability and the Master Patient Index is properly maintained at all times. Ensures financial success for University of Mississippi Medical Center through diligent approach to work, attention to detail, and highly reliable data collection and recording.

Basic knowledge of patient throughput workflows and regulations. Proficient in revenue cycle healthcare systems. Ability to maintain confidentiality. Intellectual capacity to understand and analyze complex payer guidelines and proper patient access regulations. Demonstrated analytical skills to discover root cause of errors and properly correct. 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.

Knowledge, Skills and Abilities

• 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
• Good interpersonal communication and organizational skills, and proven ability to work effectively with others

Responsibilities

Environmental and Physical 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 and Experience : High school diploma or GED required. One (1) or more years of Admissions, Patient Registration, Scheduling, Insurance Verification, Pre-Registration, Collections, Prior Authorizations, Payor Authorizations, Call Center, customer service, or data entry, or healthcare experience,

with a proven track record of accomplishing high quality work in a professional manner. Experience in healthcare, hospital, medical clinic or

health insurance environment preferred.

Certifications, Licenses or Registration Required : N / A