Patient Access Representative II
2 days ago
West Tennessee Healthcare is seeking a highly skilled Patient Access Representative II to join our team. As a key member of our Patient Access Services team, you will play a critical role in ensuring that patients receive timely and accurate financial clearance for their healthcare services.
Key Responsibilities:- Ensure proper insurance payer plan choice and billing address are assigned in the automated patient accounting system.
- Financial Clearance - Contacts payers to verify insurance eligibility and refers to the designated area if medical necessity fails or if referrals/authorizations are denied.
- Pre-Service/Point of Service Collection - Interprets third-party payer policies to establish patient financial liabilities and works with patients to understand their patient financial responsibilities.
- Collect co-payments, co-insurance, and deductibles according to pre-service/point of service collections policies and procedures.
- Communication & Miscellaneous - Advises next-level leader of possible postponement or deferrals of any elective/non-emergent admission which has not been approved prior to service date.
- High School Graduate or equivalent.
- 2-3 years of healthcare or related experience required.
- Demonstrated knowledge of healthcare management, registration, billing, and collection processes for government, grant, and non-government funding sources.
- Strong experience with patient accounting systems and knowledge of word processing and spreadsheet applications.
- Strong interpersonal skills and the ability to work through a variety of issues in a diplomatic fashion required.
- A dynamic and supportive work environment.
- Opportunities for professional growth and development.
- A competitive salary and benefits package.
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, disability, religion, national origin, gender, gender identity, gender expression, marital status, sexual orientation, age, protected veteran status, or any other characteristic protected by law.
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