Patient Access Representative

5 days ago


Greenville, North Carolina, United States Vidant Health Full time
Job Title: Patient Access Representative

About Vidant Health:
Vidant Health is a leading healthcare provider in North Carolina, dedicated to delivering high-quality patient care and services. Our team of healthcare professionals is committed to making a positive impact in the lives of our patients and their families.

Job Summary:
We are seeking a Patient Access Representative to join our team. As a Patient Access Representative, you will be responsible for creating a positive first impression for our patients and families. You will perform outpatient scheduling, registration, and collect necessary data to ensure accurate billing and reimbursement. You will also serve as the first point of contact for physician offices and other customers regarding scheduling procedures at Vidant Health.

Responsibilities:
  • Interact with physicians and/or their office staff to secure diagnosis, procedure details, or authorization information as needed.
  • Receive scheduling requests for procedures using our electronic scheduling system.
  • Obtain diagnosis and procedure information from patients, clinical departments, or physician offices to perform ABN/Medical Necessity screening, as required.
  • Interview patients face-to-face or by phone to obtain scheduling and/or registration information.
  • Handle incoming calls and exercise judgment in scheduling callers for the correct procedure in the appropriate service area.
  • Collect complete and accurate demographic, financial, and clinical information to properly enter into our electronic health record to complete a hospital registration.
  • Provide timely and thorough information to all other providers and customers who utilize patient data.
  • Review registration accounts for accuracy to ensure the hospital is properly reimbursed.
  • Obtain signatures on consent forms, HIPAA, Observation Notice, Important Message from Medicare, and other important forms as required within our hospital policies.
  • Explain financial obligations, negotiate 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 our electronic insurance eligibility application, internet application, or telephone calls to insurance carriers. Obtain authorizations and pre-certification for applicable visits.
  • Ensure 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.
Requirements:
  • High School or Equivalent (GED) or higher is required.
  • Associate Degree: preferred.
  • Bachelor's Degree: preferred.
  • 2 years of 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.
Work Schedule:
2nd Shift, 230pm to 11pm, with a every other weekend rotation.

Equal Opportunity Employer:
Vidant Health is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity, equity, and inclusion. Decisions of employment are made based on business needs, job requirements, and applicant 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.

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