About this Access Representative-Full Time-Rotating role at Cape Fear Valley Health
Facility
Betsy Johnson HospitalLocation
Dunn, North CarolinaDepartment
Patient AccessJob Family
ClericalWork Shift
Rotating Shifts (United States of America)Summary
Obtain accurate and detailed demographic, financial and clinical information to perform accurate and complete admissions/registrations, while exhibiting warmth, compassion and responsiveness to patients, their families and friends, professionals and co-workers within the hospital.Knowledge, Skills, and Abilities
Major Job Functions
The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time:
Query EAD and enter patient demographics in computer system to obtain accurate patient medical record and account number
Communicate Medical Center’s Collection Policy and collect outstanding balance amounts, deposits and point of service payments
Verify insurance benefits and obtain prior authorizations for those payers that require pre-authorization
Verify through Compliance Checker Software all Medicare patient diagnoses to ensure compliance with LMRP guidelines and obtain ABN’s as necessary
Obtain physician orders to support services rendered
Order ancillary tests within the order entry system
Assist insurance companies, physician offices, and other hospital departments with patient information, etc.
Monitor and coordinate patient placement through bed control functions in a timely and patient focused manner
Other duties as assigned
Minimum Qualifications
The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:
Education and Formal Training:
High school diploma or equivalent required
Work Experience:
1 year experience with Microsoft Windows required
1 year of insurance/clerical experience within a hospital or medical office setting preferred
Knowledge, Skills, and Abilities Required:
Proficiency in reading, writing, and speaking the English language
Knowledge of insurance and collection of payments preferred
Medical terminology knowledge preferred
Ability to type and perform data entry functions at a level required and needed to maintain productivity standards of a department
Excellent verbal and written communication skills
Demonstrated customer service skills to a variety of customers from different cultural and economic backgrounds preferred
Critical thinking skills and ability to problem solve
Multi-skilled with the ability to appropriately handle complexity and stress with the changing needs of the patients, families, visitors, and the Health System
Dexterity to operate office equipment
Answer telephone calls, use personal computer and other business machines extensively
Physical Requirements:
May have eyestrain due to the many hours spent looking at a computer screen
Sitting or standing in intervals for long periods of time
Low to moderate noise level
Bends, reaches, pushes and pulls file drawers to file records and reports
Ability to transport patients and assist with baggage
Regularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds and occasionally lift or move up to 50 pounds
Required Licenses and Certifications
Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity