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Patient Access Rep I
3 months ago
ECU Health
About ECU Health Medical Center
ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides acute and intermediate care, rehabilitation and outpatient health services to a 29-county region that is home to more than 1.4 million people.
Position Summary
Responsible for creating the first impression of the organization's services to patients and families and other external customers. Performs outpatient scheduling, registration for all patients (emergency, ambulatory, and inpatients) and collects proper data, documents, and signatures to ensure hospital bills will be paid by third party payer or the patient. Serves as first point of contact for physician offices and other customers regarding scheduling procedures at ECU Health.
Responsibilities
- Interacts with physicians and/or physicians' office staff to secure diagnosis, procedure details or authorization information as needed.
- Receives scheduling requests for procedures utilizing Cadence to schedule based on physician orders.
- Obtains diagnosis and procedure information from patient, clinical department or physician offices to perform ABN/Medical Necessity screening, as required.
- Interviews patients face-to-face or by phone to obtain scheduling and/or registration information.
- Handles incoming calls and exercises judgment in scheduling caller for correct procedure in appropriate service area; receives telephone requests to schedule from patients, physicians, physicians' office staff, etc.
- Collects complete and accurate demographic, financial, and clinical information to properly enter into the electronic health record to complete a hospital registration.
- Provides timely and thorough information to all other providers & customers that utilize the patient data.
- Reviews registration account for accuracy to ensure the hospital is properly reimbursed.
- Obtains signatures on consent forms, HIPAA, Observation Notice, Important Message from Medicare and other important forms as required within the Hospital's policies.
- Explains financial obligations, negotiates deposits and payment arrangements with patients and or guarantors and attempt to collect patient copayments or other uninsured balances on accounts.
- Verify insurance benefits using the electronic insurance eligibility application (Passport), internet application or telephone calls to insurance carriers, Obtain authorizations and pre-certification for applicable visits.
- Ensures that all required documents including consent forms, precertification documents, benefits information and insurance card copies are scanned into the correct patient EHR.
- Cross trained to perform other functions within the division as assigned.
- Other duties as assigned.
- High School or Equivalent (GED) or higher is required
- Associate Degree: preferred
- Bachelors Degree: preferred
- 2 years Customer Service is required
- 1 to 2 years of Registration and/or Billing experience within a healthcare setting is preferred.
- Excellent communication (both written and oral), detail orientation, organization, and multitasking skills required
- Basic computer skills
Other Information
Scheduled
2ND Shift 230pm to 11pm with a every other weekend rotation
General Statement
It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant's qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
