PATIENT ACCESS REP
2 weeks ago
Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.
Campus Overview
Kettering Health Main Campus
* Kettering Health Main Campus, formerly Kettering Medical Center, is the flagship hospital of Kettering Health and has been serving Kettering, Ohio and the Greater Dayton area since 1964.
* The facility includes the Benjamin and Marian Schuster Heart Hospital, maternity service with a level III neonatal intensive care unit (NICU), and level II Emergency Care.
* In 2020, KH Main Campus received an A from the Leapfrog Group, a national patient safety watchdog, ranking among the safest hospitals in the United States.
* Received 4 Star Baby-Friendly Hospital status by the Ohio Hospital Association.
* Awarded as one of the 50 Top Cardiovascular Hospitals by IBM Watson Health in 2020.
* Kettering received the Outstanding Patient Experience Award by Healthgrades (2017-2019).
* Accredited by the American College of Emergency Physicians as a Level 3 Geriatric Emergency Department.
* 465-bed hospital (includes newborn beds)
Department Overview
Network Pre-Access department verifies patients eligibility/coverage, validates/obtains authorizations on testing and reaches out to patients to pre-register while discussing estimates/financial assistance. The Network Pre-Access department helps secure patients financially while outreaching to them for cost transparency and financial assistance help.
Responsibilities & Requirements
Patient Access Representative position duties include, but are not limited to the following:
* Be responsible for ensuring all Self Pay and or Insured Patients have been screened for the appropriate level of coverage or access to coverage
* Review scheduled Outpatient visits prior to service for authorization processes and procedure requirements
* Determine and carry out various payer requirements specifically related to different types of services
* Frequently review all Inpatient Accounts or any new Self Pay Admission
* Interact and communicate and collaborate with various departments on a regular basis
Job Requirements:
* High school diploma required
* One or more years of medical office experience
* Computer literate and very strong with Excel, Word and Outlook
* One year customer service experience
Preferred Qualifications
* College degree in finance or healthcare field
* Previous registration or scheduling experience
* Strong third party billing background
* Excellent written and oral communication skills
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