Patient Access Representative I

Patient Access Representative I

Reporting to the Patient Access Manager, the Patient Access Associate exhibits a high level of customer service while verifying and preparing all patient accounts for inpatient and outpatient billing in order to maximize payment for Hospital and Clinic services. Reviews and verifies all payment methods available (insurance, self-pay, agency), verifies patient / insurance information, works with patients to set up payment arrangements and to arrange / apply for assistance programs, assists in collecting copayments and deductibles, and problem solves basic billing inquiries.

Primary Duties and Responsibilities :

Obtains / Confirms And Enters / Updates Demographic And Insurance Information For All Patients

Verifies Insurance Coverage, Screens Patient For Potential Funding Sources, And Sets Expectations For Reimbursement Of Services

Collects, Posts, And Reconciles All Payments From Patients

Performs Other Position Appropriate Duties As Required In A Competent, Professional, And Courteous Manner

Physical Requirements :

Ability to perform job functions while standing. (Frequent) Ability to perform job functions while sitting. (Frequent) Ability to perform job functions while walking. (Frequent) Ability to climb stairs. (Infrequent) Ability to work indoors. (Continuous) Ability to work from elevated areas. (Frequent) Ability to work in confined / cramped spaces. (Infrequent) Ability to perform job functions from kneeling positions. (Infrequent) Ability to bend at the waist. (Frequent) Ability to squat and perform job functions. (Infrequent) Ability to perform repetitive motions with hands / wrists / elbows and shoulders. (Frequent) Ability to reach in all directions. (Frequent) Possess good finger dexterity. (Continuous) Ability to fully use both legs. (Continuous) Ability to fully use both hands / arms. (Continuous) Ability to lift and carry 15 lbs. unassisted. (Infrequent) Ability to lift / lower objects 15 lbs. from / to floor from / to 36 inches unassisted. (Infrequent) Ability to lift from 36 inches to overhead 15 lbs. (Infrequent) Ability to maintain 20 / 40 vision, corrected, in one eye or with both eyes. (Continuous) Ability to see and recognize objects close at hand or at a distance. (Continuous) Ability to match or discriminate between colors. (Continuous) (Selected Positions) Ability to determine distance / relationship between objects; depth perception. (Continuous) Ability to maintain hearing acuity, with correction. (Continuous) Ability to perform gross motor functions with frequent fine motor movements. (Continuous) Ability to work in a latex safe environment. (Continuous)

• Ability to maintain tactile sensory functions. (Frequent)
• (Selected Positions)
• Ability to maintain good olfactory sensory function. (Frequent)
• (Selected Positions)
• Ability to be qualified physically for respirator use, initially and as required. (Continuous) (Selected Positions)

Knowledge, Skills, and Abilities :

Excellent customer service skills are required Ability to receive and express detailed information through oral and written communications. Uses proper negotiation techniques to professionally collect money owed by our Patients / Guarantors Knowledge of insurance plans and benefits Computer literate and able to operate in multiple applications such as Microsoft Office Minimum typing skills of 35-40 wpm (certified typing test results required) Requires eye-hand coordination and manual dexterity Requires the use of office equipment, such as computer terminals, telephone, and copiers Knowledge of medical terminology. Able to handle multiple tasks simultaneously. Ability to work weekends, Friday, Saturday, and Sunday. Must be flexible and able to work flex and staggered shifts

Education Requirements (Essential Requirements) : Associate Degree or High School Diploma with 2 years of customer service experience Patient Access Certification (preferred) One (1) year relevant experience in a medical office or hospital preferred.

Bachelor's Degree from an accredited college / university; or a high school diploma or equivalent (GED) and two years of work experience in a Medical Office, Call Center, and / or customer service business environment and a minimum of 6 months satisfactory work experience in MUHA Patient Access, or at least 6 months of medical related work experience is required.