Patient Access & Registration Pro II

Atrium Health; North Wilkesboro (NC); Presencial; USD 38.000 - 52.000; Jornada completa

Descripción de la vacante

Atrium Health is seeking a Patient Services Representative III to interview patients in person or by phone and pre-register them for admission, outpatient services, and other procedures. You will verify insurance, obtain pre-certifications, and guide patients through financial options and eligibility requirements.

You will support a multi-platform registration workflow, handle referrals, process deposits, and assist teammates while upholding HIPAA and compliance standards in a fast-paced

Formación

• EPIC Cadence experience preferred.
• Expert knowledge of patient access services and the revenue cycle.
• A thorough understanding of commercial and government insurance plans, payer networks, government resources and medical terminology.
• Understand and maintain Medicare and other state and federal government payor compliance requirements for the population served.
• Demonstrated proficiency in communicating effectively with a customer and simplifying complex information.
• Demonstrated ability of critical thinking and adhering to compliance protocols.
• Demonstrated ability to handle escalated issues, train/mentor other team members and viewed as a subject matter expert.
• Ability to navigate Internet Explorer and Microsoft Office Suite of applications.
• Experience prioritization of multiple critical priorities while ensuring quality and achievement of performance metrics.
• Demonstrated ability to meet or exceed performance metrics.
• Ability to handle sensitive information and maintain HIPAA compliance.

Responsabilidades

• Interview patients in-person and/or by phone to obtain all required information for hospital records and billing systems. Pre-registers all scheduled patients for admission, partial hospitalization, and outpatient services according to department policies and procedures.
• Verify insurance coverage and obtains authorization for all services requiring pre-certification.
• Process internal and out-going referrals, as needed, per department procedures
• Perform clerical functions as needed, including answering phones, taking messages, chart processing, faxing and scanning.
• Collect and process upfront deposits or set-up payment arrangements, as required.
• Screen patient for Medicaid, ACA or hospital sponsored financial program and provides appropriate documentation and referral.
• Assist other team members where necessary
• Adhere to department policies and procedures related to verification of eligibility, benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties
• Complete assigned registration functions within multi-specialty clinic and/or emergency department, which may include claim edit work queues, pre-certifications and authorizations.
• The Patient Services Representative III is expected to sequence multiple physician visits and complete registration activities within multiple registration platforms
• Assists team with escalated issues, trains other team members as needed and is a subject matter expert.
• Participate in departmental performance improvement initiatives
• Other duties as assigned or requested by Supervisor or Manager, such as acting as back up in other departments
• Understand and maintain operations knowledge of Medicare and other state and federal government payor compliance requirements for the population served.

Conocimientos

Revenue cycle

Insurance knowledge

Medicare knowledge

Customer communication

Critical thinking

Escalation handling

Mentoring

Prioritization

Performance metrics

HIPAA compliance

MS Office

Educación

High school diploma + 3 years experience

Herramientas

EPIC Cadence

Microsoft Office

Descripción del empleo

Atrium Health is seeking a Patient Services Representative III to interview patients in person or by phone and pre-register them for admission, outpatient services, and other procedures. You will verify insurance, obtain pre-certifications, and guide patients through financial options and eligibility requirements.

You will support a multi-platform registration workflow, handle referrals, process deposits, and assist teammates while upholding HIPAA and compliance standards in a fast-paced