Patient Access Representative
This position is responsible for talking to referral sources, collecting information and entering it into the computer, completing initial authorization, and verifying insurance so the patient can receive appropriate treatment from the appropriate departments.
Job Essentials
- Provides excellent telephone and in-person customer service. Answers and return telephone calls promptly and courteously. Triages phone calls as appropriate. Responds to requests in an accurate and timely manner.
- Speaks to referral sources. Gathers and inputs intake information into the computer system completing the intake process.
- Interfaces with third party payers to determine insurance benefits / self-pay status authorization at the time of intake.
- Coordinates with other departments in the facility as needed to ensure the patients will receive appropriate treatment.
- Organize daily activities to ensure the department functions according to accepted standards.
- Establishes and maintains effective internal and external working relationships.
- Responsible for complying with information privacy / confidentiality policies and regulations.
HME Support Services only :
Obtains insurance eligibility and benefits information using various phone and on-line resources. Maintains appropriate authorizations and notifies insurance companies of patient arrival as needed. Ensures eligibility and authorization requirements are completed within the required timeframe.Performs translation of narrative diagnoses provided by physicians into appropriate ICD-9 or ICD-10 codes.Maintains productivity levels established by management in completing orders.Skills :
Customer ServiceCommunicationOrganizationProblem-SolvingAdaptabilityPhysical Requirements :
Required Qualifications :
One year of customer service experience.Demonstrated excellent interpersonal relations and communications skill.Demonstrated experience working effectively in time sensitive situations, handling multiple priorities simultaneously and ability to make prompt accountable decisions.Demonstrate ability to work under stress.Demonstrated computer and word processing skills.Preferred Qualifications :
One year of experience with Medicare / Medicaid and other commercial insurances, preauthorization and utilization management.Experience with Centricity / IDX.Knowledge of Intermountain Healthcare's computer systems.Bilingual Spanish speakingAdmitting, billing, collection and / or insurance verification experienceVersed in CPT / HCPCS / ICD-9 / ICD-10 CodesMedical TerminologyPhysical Requirements :
Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.Frequent interactions with providers, colleagues, customers, patients / clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.Location :
Intermountain Health McKay-Dee Hospital
Work City : Ogden
Work State : Utah
Scheduled Weekly Hours :
24
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$19.31 - $26.22