Patient Access Representative, Patient Access, Third Shift

Self Regional Healthcare Inc.; Kansas City (MO, SC); On-site; USD 42,000 - 54,000; Full time

Job summary

Self Regional Healthcare Inc. in Missouri is seeking a Patient Access Specialist for the full-time evening shift (7:30pm-6:00am, varied days).

You will manage scheduling, pre-certification, and benefit verification, while explaining hospital financial responsibilities and collecting signatures during registration. The role requires strong customer service, knowledge of EPIC, and the ability to coordinate with physicians and staff to ensure accurate patient data and compliance with insurer

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.

Responsibilities

• Scheduling, pre-certification, benefit verification and pre-certification responsibilities.
• Conducts patient and guarantor interviews for inpatient, outpatient and emergency care registration.
• Explains hospital policies and financial responsibilities and obtains required signatures.
• Ensures demographic and financial data is entered in EPIC accurately and timely.
• Obtains pre-certification/authorization to comply with insurer policies.
• Determines estimated patient financial responsibility through verified benefits and co-pays.
• Maintains communication with physicians, nursing, clinical staff and Patient Access Department for proper entry into the system.
• Performs other duties as assigned by management.

Skills

Customer service

Communication skills

Medical terminology

Analytical skills

Organization skills

Education

High School Diploma

Tools

EPIC system

Job description

Full Time, 7:30pm-6:00am, Varied Days

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