Patient Access Representative I

4 days ago

Ahoskie, North Carolina, United States Vidant Health Full time
Job Summary

Vidant Health is seeking a highly skilled Patient Access Representative I to join our team. As a Patient Access Representative I, you will be responsible for creating a positive first impression of our organization's services to patients and families, as well as other external customers.

Key Responsibilities
  • Interact with physicians and/or physicians' office staff to secure diagnosis, procedure details, or authorization information as needed.
  • Receive scheduling requests for procedures utilizing Cadence to schedule based on physician orders.
  • 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 the electronic health record to complete a hospital registration.
  • Provide timely and thorough information to all other providers and customers that 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 the hospital's 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 the electronic insurance eligibility application (Passport), 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.
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.

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