PATIENT ACCESS SERVICES REP I, PATIENT ACCESS SERVICES

Sgmc-Health-1; Valdosta (GA); On-site; USD 16,000 - 25,000; Full time

Benefits offered by this job

Low Healthcare Insurance Premiums

401(k) with employer match

Paid Time Off (PTO)

Tuition Reimbursement

On-the-job training and skills dev.

Job summary

SGMC Health is seeking a Patient Access professional responsible for scheduling inpatient and outpatient procedures, and registering patients into the system with accuracy.

You will verify insurance and perform cost estimates, coordinate referrals, and respond to patient inquiries while maintaining compliance and high quality service.

Qualifications

• Technical PC and Windows literacy required.
• Extensive knowledge of insurance/managed care, Medicare and Medicaid.
• Strong verbal communication and excellent customer service skills.
• Familiarity with CPT/HCPCS/ICD-10 and HIPAA compliance.

Responsibilities

• Schedule inpatient and outpatient procedures; register patients accurately.
• Handle patient transfers and bed placements across departments.
• Meet productivity standards (94%–105%) and ensure data accuracy.
• Verify insurance benefits and complete cost estimates for patients.

Skills

Verbal communication

Customer service

Attention to detail

Typing 40 wpm

Education

College degree or coursework preferred

Tools

Series

Trace

PayNav

Microsoft Office

Job description

Description

WHAT IT'S LIKE AT SGMC HEALTH

Purpose

No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place.

Excellence

We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service.

Team Spirit.

We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment.

Award Winning Performance.

We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides.

WHY YOU WILL LOVE SGMC HEALTH

SGMC has great benefit options, depending on the role that you are going into– including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities to expand your skill set. Some of these great benefit options are listed below:

• Low Healthcare Insurance Premiums
• 401(k) with employer match
• Paid Time Off (PTO)
• Employee discounts
• Company paid life insurance
• Short-Term and Long-Term Disability
• Cancer Insurance
• Accident Insurance
• Pet Insurance
• Tuition Reimbursement
• On-the-job training and skills development
• Opportunities for growth and advancement
• Employee Assistance Program

JOB LOCATION :

SGMC Patient Financial Services

DEPARTMENT:

Patient Access Services PAS

SCHEDULE:

Full Time, 12 HR Night Shift, 7p-7a with alternating weekends

POSITION SUMMARY:

Responsible for all aspects of scheduling of Inpatient and Outpatient procedures; Knowledgeable of recording patients into lobbying system. Responsible for the complete registration of a patient. Knowledgeable of patient transfers and bed placements for all departments. Will be held accountable for meeting the standard productivity rate of 94% to 105%. Must understand and comply with HIPPA. Knowledgeable of Medicare and the questionnaire that must be completed on each Medicare patient. Responsible for verifying insurance benefits and accurate entry of patient demographics and financial data. Will be responsible for fulfilling all PayNav functionalities including medical necessity on all Medicare patients, cost estimates for each patient and insurance verification on all patients. Strive to reach 100% of your personalized collection goal. Will be accountable for accuracy of information entered and documentation provided. Will be held accountable for meeting the standard accuracy rate of 98% or higher in AHIQA. Will coordinate referral of account to appropriate personnel, including Customer Service Responsible for maintaining, responding, and addressing all SGMC Health emails, phone calls, and voice messages.

KNOWLEDGE, SKILLS & ABILITIES:

• Technical/system skills/knowledge: PC and Windows literacy required; prefer knowledge of, or experience with, Series, Trace, PayNav, and Microsoft Office applications.
• Extensive knowledge of insurance/managed care, to include: Medicare; Medicaid (Georgia and Florida); Peach Care; Tricare (Standard, Extra and Prime);VA; Disability Adjudication Services; Vocational Rehabilitation; Children’s Medical Services; Cancer State Aid; Crime Victim’s Compensation Program; Knight’s Templar Eye Foundation; Managed Care (HMO, PPO, POS, Medicare HMO); COBRA; Worker’s Compensation; Georgia Indigent Care Trust Fund; Blue Cross (Georgia, Florida, out-of-state and FEP); and Institutional Billing.
• Strong verbal communication skills.
• Excellent customer service skills. Interacts with: patients; other departments; physician offices; other acute medical care providers; insurance companies; pre-certification companies; employers; intermediaries; utilization review companies; and state regulatory agencies (GMCF, Medicaid).
• Knowledge of, or coursework in, medical terminology. Familiarity with CPT Codes, HCPCS, and ICD-10, and PCI compliance. Related regulatory and legal requirements: Medicare Secondary Payer Questionnaire; Advance Directives (living wills, healthcare surrogate); medical necessity checking requirements; ABNs; letters of non-coverage; coordination of benefits. Reimbursement methodologies: percent-of charges; discounted fee-for-service; fee schedule; cost-based; capitation;.
• Must have a thorough understanding and knowledge of patient type; financial class; insurance master; employer codes; clinic codes; physician coding; admission source codes; relationship codes; accommodation codes; special handling codes; medical service codes.
• College degree or coursework preferred.
• CPAR preferred.
• Must be able to organize workload in an efficient manner and type 40 wpm accurately.
• Previous data entry, programming, office coordinator experience highly preferred.

WORKING CONDITIONS- ADA INFORMATION:

Modern, well-lighted, air-conditioned, general work area. Moderate noise level. Occasional overtime required. May be at risk for exposure to blood and body fluids. Ability to sit, stand or walk for moderate periods. Safe and efficient operation of office equipment including copier, fax, printers, computer, telephone, adding machine, Medifax, and credit card machine. Reading of printed materials, including physician orders. Listening and verbally responding to customers, staff, physicians and visitors. Moderately heavy lifting {0-25 lbs.}, reaching, stooping, pushing, pulling, bending, and twisting.

SEE WHAT ALL OF THE HYPE IS ABOUT

https://www.youtube.com/watch?v=_DeqKw8xk54