Patient Access Representative, Patient Access

Self Regional Healthcare Inc.; Kansas City (MO, SC); On-site; USD 39,000 - 52,000; Full time

Job summary

Self Regional Healthcare Inc. in Kansas City, MO is seeking a full-time Scheduling Specialist responsible for scheduling, pre-certification, and benefit verification.

You will conduct patient and guarantor interviews, explain hospital policies, and enter accurate demographic and financial data into the EPIC system. The role requires fast response to customer needs, independent judgment, and strong communication skills.

Qualifications

• Healthcare industry knowledge preferred.
• Customer service experience required.
• Excellent written and verbal communication.
• Knowledge of ICD-10 and CPT coding.
• Ability to build productive internal and external relationships.
• Basic analytical skills.
• Strong organizational skills and attention to detail.
• Ability to handle challenging customers professionally.

Responsibilities

• Schedule patients and registrations for inpatient, outpatient and emergency care.
• Obtain pre-certification and/or authorization per insurer policies.
• Explain hospital policies and financial responsibilities to patients.
• Enter demographic and financial data accurately in the EPIC system.
• Determine estimated patient financial responsibility from verified benefits.
• Coordinate communication among physicians, nursing, staff and Patient Access.
• Perform other duties as assigned by management.

Skills

Customer service experience

Communication skills

Medical terminology ICD-10 CPT Coding

Analytical skills

Organizational skills

Interpersonal relationships

Challenging customers handling

Education

High School Diploma

Job description

Full Time, 8:30am-5:00pm, Monday-Friday

Responsible for performing scheduling, pre-certification, benefit verification and pre-certification, Requires fast response to customer needs, independent judgement, ingenuity and initiative in utilization of computers and other equipment. Works with staff and understand appropriate scheduling processes and how processes affect ancillary departments. Conducts patient and guarantor interviews for inpatient, outpatient and emergency care registration, Explains hospital policies and financial responsibilities and obtains all required signatures. Ensures that all demographic and financial data is obtained and entered in the EPIC system in an accurate and timely manner. Ensures that pre-certification and/or authorization is obtained to comply with insurance company policies. Determines estimated patient financial responsibility through verified insurance benefits, co-pays and deductibles and calculates estimated self-pay portions to be collected at time of registration. Controls the main line of communication with physicians, nursing, clinical staff, non-clinical staff and Patient Access Department to ensure appropriate patient scheduling for proper entry into and through the health care system. Performs all other duties as assigned by the management team.

Special Qualifications

• High School Diploma or equivalent
• General knowledge and experience in the healthcare industry is preferred
• Strong Customer service experience
• Ability to communicate effectively both orally and in writing
• Working knowledge of medical terminology ICD-10 and CPT Coding
• Ability to build productive internal and external working relationships
• Basic analytical skills
• Strong organizational skills and attention to detail
• Ability to handle challenging customers in a professional manner