Access Representative-Full Time-Variable

Cape-Fear-Valley-Medical-Center-; Fayetteville (NC); On-site; USD 28,000 - 36,000; Full time

Job summary

Cape Fear Valley Medical Center in Fayetteville, NC seeks a detail-oriented PFS Registration clerk to obtain accurate demographic, financial and clinical information for admissions, while showing warmth to patients and families.

You will verify insurance, obtain authorizations, collect balances and navigate the order entry and billing systems to support timely hospital services.

Qualifications

• High school diploma or equivalent required.
• 1 year of insurance/clerical experience in a hospital or medical office preferred.
• Strong English reading/writing and verbal communication.
• Ability to type and perform data entry accurately.

Responsibilities

• Query EAD and enter patient demographics in computer system to obtain accurate patient medical records.
• Communicate hospital's collection policy and collect outstanding balances and deposits.
• Verify insurance benefits and obtain prior authorizations as needed.
• Verify Medicare diagnoses through Compliance Checker Software for ABN accuracy.
• Coordinate patient placement through bed control and support services.

Skills

Verbal communication

Written communication

Customer service

Critical thinking

Problem solving

Multitasking

Data entry

Typing speed

Education

High school diploma or equivalent

Tools

Compliance Checker Software

Microsoft Office Suite

Order entry system

Job description

FacilityCape Fear Valley Medical CenterLocationFayetteville, North CarolinaDepartmentPFS RegistrationJob FamilyClericalWork ShiftVariable (United States of America)SummaryObtain 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.Major Job FunctionsThe 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 numberCommunicate Medical Center’s Collection Policy and collect outstanding balance amounts, deposits and point of service paymentsVerify insurance benefits and obtain prior authorizations for those payers that require pre-authorizationVerify through Compliance Checker Software all Medicare patient diagnoses to ensure compliance with LMRP guidelines and obtain ABN’s as necessaryObtain physician orders to support services renderedOrder ancillary tests within the order entry systemAssist 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 mannerOther duties as assignedMinimum QualificationsThe 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 requiredWork Experience:1 year experience with Microsoft Windows required1 year of insurance/clerical experience within a hospital or medical office setting preferredKnowledge, Skills, and Abilities Required:Proficiency in reading, writing, and speaking the English languageKnowledge of insurance and collection of payments preferredMedical terminology knowledge preferredAbility to type and perform data entry functions at a level required and needed to maintain productivity standards of a departmentExcellent verbal and written communication skillsDemonstrated customer service skills to a variety of customers from different cultural and economic backgrounds preferredCritical thinking skills and ability to problem solveMulti-skilled with the ability to appropriately handle complexity and stress with the changing needs of the patients, families, visitors, and the Health SystemDexterity to operate office equipmentAnswer telephone calls, use personal computer and other business machines extensivelyPhysical Requirements:May have eyestrain due to the many hours spent looking at a computer screenSitting or standing in intervals for long periods of timeLow to moderate noise levelBends, reaches, pushes and pulls file drawers to file records and reportsAbility to transport patients and assist with baggageRegularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds and occasionally lift or move up to 50 poundsRequired Licenses and CertificationsCape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity