Patient Access Specialist: Admissions & Insurance

Cape Fear Valley Health; Dunn, Northern (NC, KY); Hybrid; USD 34,000 - 42,000; Full time

Job summary

Cape Fear Valley Health in Dunn, North Carolina seeks an Access Representative to handle admissions and registrations with accuracy and warmth. You will collect demographic, financial and clinical information while guiding patients and families through the process.

You will verify insurance, obtain pre-authorizations where required, explain billing policies, perform data entry and coordinate with care teams to place patients. Strong communication and detail orientation are essential in this role.

Qualifications

• Education: High school diploma or equivalent required.
• Experience: 1 year experience with Microsoft Windows; 1 year of insurance/clerical experience preferred.
• Responsibilities: Compiles accurate demographic, financial and clinical information for admissions/registrations.
• Communication: Excellent verbal and written communication skills.

Responsibilities

• Query EAD and enter patient demographics in computer system to obtain accurate patient medical record and account number.
• Communicate Medical Center’s Collection Policy and collect outstanding balance amounts, deposits and point of service payments.
• Verify insurance benefits and obtain prior authorizations for those payers that require pre-authorization.
• Verify through Compliance Checker Software all Medicare patient diagnoses to ensure compliance with LMRP guidelines and obtain ABN’s as necessary.
• Obtain physician orders to support services rendered.
• Order ancillary tests within the order entry system.
• Assist insurance companies, physician offices, and other hospital departments with patient information, etc.
• Monitor and coordinate patient placement through bed control functions in a timely and patient focused manner.
• Other duties as assigned

Skills

Customer service

Communication

Data entry

English proficiency

Insurance/collections

Medical terminology

Typing

Problem solving

Multi-tasking

Office equipment

Education

High school diploma or equivalent

Tools

Microsoft Windows

Job description

Cape Fear Valley Health in Dunn, North Carolina seeks an Access Representative to handle admissions and registrations with accuracy and warmth. You will collect demographic, financial and clinical information while guiding patients and families through the process.

You will verify insurance, obtain pre-authorizations where required, explain billing policies, perform data entry and coordinate with care teams to place patients. Strong communication and detail orientation are essential in this role.