Position Summary / Career Interest:

Responsibilities and Essential Job Functions

• Communicates with multi-disciplines throughout the health care continuum to ensure pertinent information is communicated regarding eligibility, benefits and authorization for services for the purpose of identifying payment responsibilities.
• Acts as liaison between Olathe Hospital and health plans or HMO's to ensure compliance with pre-certification and authorization requirements of plans and to facilitate reimbursement.
• Acts as a Patient Access Representative as needed.
• Communicates needs for education/discipline/concerns to management.
• Responds to patient/customer service concerns.
• Assists as applicable, in accomplishment of identified departmental goals.
• Promotes all processes in place to prevent denial of reimbursement; when denials occur, assists with timely identification and investigation; When indicated, performs or assists with appeal process in order to promote successful reversals.
• Provide effective communication with staff regarding any process changes, issues or concerns.
• Obtains benefit verification and hospital precertification on all Inpatients and on applicable Outpatients and Observation patients.  Documents accurately and completely.
• Monitors staff to ensure workload is being completed/handled in a timely manner.
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

• High School Graduate
• 1 or more years of referral experience

Preferred Education and Experience

• 2 or more years of patient access experience

Time Type:

Job Requisition ID:

Important information for you to know as you apply:

• The health system is an equal employment opportunity employer.  Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status.  See also Diversity, Equity & Inclusion.

• The health system provides reasonable accommodations to qualified individuals with disabilities.  If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu.

• Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.

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