Access Representative-Full Time-Rotating

Cape Fear Valley Health System; United States; On-site; USD 36,000 - 48,000; Full time

Job summary

Cape Fear Valley Health System seeks a Patient Access Clerk at Betsy Johnson Hospital to obtain accurate demographic, financial, and clinical information for admissions and registrations, while delivering warmth and responsiveness to patients and families.

The role involves data entry, insurance verification, and coordination with staff to ensure timely patient placement and compliance with policies, working within rotating shifts in a hospital setting.

Qualifications

• High school diploma or equivalent required.
• 1 year experience with Microsoft Windows preferred.
• 1 year insurance/clerical experience in hospital/medical office setting preferred.
• Proficiency in reading, writing, and speaking English.
• Knowledge of insurance and collection of payments preferred.
• Medical terminology knowledge preferred.
• Ability to type and perform data entry functions.
• Excellent verbal and written communication skills.
• Customer service skills across diverse backgrounds preferred.
• Critical thinking and ability to manage stress.

Responsibilities

• Query patient demographics and enter data to obtain accurate medical records and accounts.
• Explain collection policy and collect outstanding balances, deposits, and point-of-service payments.
• Verify insurance benefits and obtain necessary pre-authorizations.
• Verify Medicare diagnoses for compliance and obtain ABNs as needed.
• Obtain physician orders to support services rendered.
• Place orders for ancillary tests in the order entry system.
• Assist insurers, physician offices, and hospital departments with patient information.
• Monitor and coordinate patient placement through bed control functions.

Skills

English proficiency

Data entry

Customer service

Critical thinking

Communication skills

Multitasking

Policy understanding

Office equipment dexterity

Education

High school diploma or equivalent

Tools

Microsoft Windows

Job description

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

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

Education and Formal Training: High school diploma or equivalent required

Work Experience: 1 year experience with Microsoft Windows required

Work Experience: 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

Equal Opportunity Employer

Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity

For exceptional healthcare come to Cape Fear Valley Health where caring employees are committed to integrity, patient-centeredness and excellence throughout the entire healthcare process. At Cape Fear Valley Health, our goal is to improve the quality of every life we touch. Our diverse team of doctors, nurses and staff work together to create a better experience for every patient, every time.

Cape Fear Valley is a 950-bed, 8-hospital regional health system, the 8th largest in North Carolina, with more than 1 million inpatient and outpatients annually. A private not-for-profit organization with over 7,000 employees and 850 physicians. Our employees and physicians proudly serve a seven-county region of southeastern North Carolina, including Fayetteville, Fort Bragg, Hope Mills, Raeford, Lumberton, Elizabethtown, Clinton, Lillington, Dunn and beyond. Our medical facilities include Cape Fear Valley Medical Center, Highsmith-Rainey Specialty Hospital, Cape Fear Valley Rehabilitation Center, Behavioral Health Care, Bladen County Hospital, Hoke Hospital, Central Harnett Hospital, Betsy Johnson Hospital, as well as more than 60 medical offices and specialty care clinics spread throughout the Cape Fear region.