Patient Access Representative - Orthopedics - Colonial Heights

VCU Health; Colonial Heights (VA); Presencial; USD 42.000 - 64.000; Jornada completa

Descripción de la vacante

VCU Health is seeking a qualified healthcare administrative professional to verify insurance coverage across plans, obtain referrals and authorizations, and document interactions in patient accounts. The role requires familiarity with billing systems, EMR/EHR platforms, and medical terminology.

The candidate will prepare cost estimates, explain payment expectations, and support chart preparation before visits, ensuring timely documentation and no-shows/cancellations are properly recorded.

Formación

• Experience using computers, Microsoft Office applications and web-based platforms.
• Experience with medical insurance, HMO, managed care and electronic medical billing/order entry/registration systems, and appointment scheduling.
• Previous healthcare setting experience and knowledge of medical terminology.
• Self-directed in completing routine activities with minimal supervision.

Responsabilidades

• Verify insurance coverage and understand requirements for HMO, managed care, government and private plans.
• Secure referrals/authorizations and link them in the referral module.
• Obtain needed referrals/authorizations before scheduled procedures, tests, injections and surgeries.
• Communicate plan-specific referral/authorization requirements to patients and providers.
• Provide pre-payment guidance for self-pay patients and offer financial assistance.
• Prepare cost estimates and document interactions in the patient account.
• Maintain organized medical record keeping and assist in chart preparation before visits.
• Document no-shows or cancellations before the end of the appointment day.

Conocimientos

Computers

Microsoft Office

Web-based platforms

Educación

High School Diploma or equivalent

Associates or Bachelor's Degree in Accounting, Finance, Business Administration, Healthcare Administration or related field

Herramientas

EMR/EHR systems

Billing systems

Descripción del empleo

Verifies insurance coverage and understands requirements for HMO, managed care, government and private plans. Secures required referrals/authorizations and links them correctly in the referral module. Obtains needed referrals and authorizations before scheduled procedures, tests, injections and surgeries. Communicates plan-specific referral/authorization requirements to patients and providers. Provides pre-payment guidance for self-pay patients and offers financial assistance. Prepares cost estimates, explains payment expectations and documents all interactions in the patient account. Maintains proficiency in all aspects of patient medical record keeping in an organized manner. Assists in preparation of the chart before the patient visits. If applicable, assists in breaking down the chart at the completion of the patient's visit. Ensures that all patients arrived in the appointment scheduling system before the end of the appointment day. Where appropriate, appointments are documented as \"no-shows\" or cancellations before the end of the appointment day. Obtains signatures and completes the required forms including those from managed care and other insurance plans.**Miscellaneous Responsibilities**Performs other duties as assigned and/or participates in special projects to support the mission of VCUHS and department.**Employment Qualifications**Education Required: High School Diploma or equivalentEducation Preferred: Associates or Bachelor's Degree in Accounting, Finance, Business Administration, Healthcare Administration or closely related field from an accredited program.**Minimum Qualifications**Years and Type of Required Experience:Demonstrated experience using computers, Microsoft Office applications, and web-based platformsExperience Preferred: Work experience with medical insurance, HMO, managed care, electronic medical billing/order entry/registration systems, and appointment scheduling.Previous work experience in a healthcare setting, and knowledge of medical terminology.Other Knowledge, Skills and Abilities Required: Able to perform daily activities with minimal supervision: being self-directed in the accomplishment of routine activities.Other Knowledge, Skills and Abilities Preferred: Depending on assignment, may be required to work off-shifts and/or weekend and holidays.**Physical Requirements****Additional Physical Requirements/ Hazards**Physical Requirements: Manual dexterity (eye/hand coordination), Perform shift work, Hear alarms/telephone/tape recorder, Repetitive arm/hand movements