Patient Access Representative
3 weeks ago
Corus Health is the proud recent recipient of Albuquerque's prestigious Top Workplace award. We are currently seeking a qualified Patient Access Representative to gather necessary patient insurance information and assign appropriate clinical staff to our patients after admission. As an essential member of our administrative team under the supervision of the Patient Access Manager, this individual will assist our clinical staff to ensure that our patients receive the best possible care.
Responsibilities & Duties:
- Receive and process all incoming referrals via telephone, fax, email & hand-delivered by our Marketing Liaisons.
- Gather and verify patient insurance information and obtain prior authorization.
- Assist patients with finding an alternative provider when home health insurance benefits are not included in their coverage.
- Assign therapist and nursing staff to patients once admitted.
- Schedule visits in DeVero as ordered by admitting/evaluating staff.
- Ensure that staff is seeing patients as ordered and missed visit notes are written when appropriate.
- Ensure Oasis visit is scheduled within a 5 day window of end of certification period for each patient.
- Routinely check for physician orders that have been written by field staff and process appropriately.
- Routinely check for drop ship orders from field staff and order medical supplies.
- Support for field staff either on the phone, email or in person and assist with changes in schedules, time off, and covered benefits.
- Back up support to receptionist.
- Notify staff when patient is placed on hold for hospitalization, insurance issue, etc.
- Fax medication interactions to the patient’s primary doctor. Oasis Coordinator will notify Team Coordinator of any medication interactions.
- Must be able to multi-task and adjust to changing situations throughout the day.
- Ability to travel domestically and work occasional weekends.
- Moderate knowledge of Microsoft Word, Excel, and Power Point.
Requirements
Requirements & Qualifications:
- Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents
- Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.
- Ability to effectively present information to top management, public groups and/or boards of directors.
- Ability to define problems, collect data, establish facts, and draw valid conclusions.
- High School diploma or GED.
- Associates degree in business or health care administration is preferred.
- Valid New Mexico Driver's License, and reliable, insured transportation.
Benefits
Benefits & Allowances:
- Positive, supportive work environment
- Continuing Education opportunities
- Excellent health benefits
- Employee Assistance Funding
- 401(k)
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