Access Representative I-Full Time-Variable

Cape Fear Valley Health System; United States; On-site; USD 32,000 - 45,000; Full time

Job summary

Cape Fear Valley Medical Center is seeking a Registration Clerk to obtain accurate demographic, financial and clinical information for admissions and registrations, while treating patients and families with warmth and empathy.

The role requires handling collections, verifying benefits, authorizations, and coordinating with multiple hospital departments to ensure smooth patient flow.

Qualifications

• High school diploma or equivalent required.
• 1 year experience with Microsoft Windows; 1 year of insurance/clerical experience in hospital/medical office preferred.
• Proficiency in reading, writing, and speaking English; strong communication and customer service.

Responsibilities

• Query EAD and enter patient demographics to obtain accurate patient medical records and account numbers.
• Explain the hospital’s Collection Policy and collect outstanding balances, deposits and point-of-service payments.
• Verify insurance benefits and obtain prior authorizations for payers requiring pre-authorization.
• Verify Medicare diagnoses for compliance with LMPR guidelines and obtain ABNs 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.
• Monitor and coordinate patient placement through bed control functions in a timely and patient-focused manner.
• Other duties as assigned.

Skills

Customer service

English language

Typing

Medical terminology

Data entry

Communication skills

Education

High school diploma or equivalent

Tools

Microsoft Windows

Compliance Checker Software

Job description

Facility

Cape Fear Valley Medical Center

Location

Fayetteville, North Carolina

Department

PFS Registration

Job Family

Clerical

Work Shift

Variable (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.

Major Job Functions

• 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 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

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.