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Senior Patient Access Services Representative

2 months ago

Melville, United States Northwell Health Full time
Job Description

Job Description

Performs a variety of registration, insurance verification, scheduling and billing duties in support of inpatient and outpatient access to medical services. Completes complex tasks. May aid or train other Representatives in responsibilities.

Job Responsibility
  • Performs admissions, registration and scheduling activities. Obtains necessary demographic and insurance information and enters data into computer system, which may include patients on Medicare/Medicaid;
  • Verifies patient insurance coverage and other related data. Obtains patient insurance authorization required for services; Documents authorization approvals and denials in computer systems; may financially screen patients, evaluating and assessing all self-pay patients pre-registered or inpatient/outpatient, to establish method of payment; Informs and counsels patient/patient representative regarding available financial assistance; Collects money due from patient at time of service; May preform billing, receivable and related functions.
  • May follow through on any open self-pay accounts including monthly payment amounts for purposes of collection.
  • Assists and/or trains new employees as instructed by supervisor or manager.
  • Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
  • Interact with customers/payors to ensure accurate claims and work through specific discrepancies
  • Provide input to policies, systems, methods, and procedures for effective management
  • Manage assigned portfolio for the purpose of securing payor authorization
  • Highly motivated individuals, who are team players that will bring positive attributes to the unit
  • Responsible for securing authorization determination for urgent and emergent admissions in an acute hospital setting
Preferred Skills
  • Problem solving skills; time management skills; strong communication in all forms; active listening skills; attention to detail.
Job Qualification
  • High School Diploma or equivalent required.
  • 3-5 years of relevant experience, required.


*Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).