Access Representative-Full Time-Rotating

Cape Fear Valley Health; Dunn, Northern (NC, KY); Hybrid; USD 34,000 - 42,000; Full time

Job summary

Cape Fear Valley Health in Dunn, North Carolina seeks an Access Representative to handle admissions and registrations with accuracy and warmth. You will collect demographic, financial and clinical information while guiding patients and families through the process.

You will verify insurance, obtain pre-authorizations where required, explain billing policies, perform data entry and coordinate with care teams to place patients. Strong communication and detail orientation are essential in this role.

Qualifications

• Education: High school diploma or equivalent required.
• Experience: 1 year experience with Microsoft Windows; 1 year of insurance/clerical experience preferred.
• Responsibilities: Compiles accurate demographic, financial and clinical information for admissions/registrations.
• Communication: Excellent verbal and written communication skills.

Responsibilities

• 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

Skills

Customer service

Communication

Data entry

English proficiency

Insurance/collections

Medical terminology

Typing

Problem solving

Multi-tasking

Office equipment

Education

High school diploma or equivalent

Tools

Microsoft Windows

Job description

## Access Representative-Full Time-RotatingApply: BJH: Full time: Posted Today: 40562**Facility**Betsy Johnson Hospital**Location**Dunn, North Carolina**Department**Patient Access**Job Family**Clerical**Work 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