Access Representative, Perinatology Services

Job Description

To create accounts from scheduling appointment and attempt to obtain demographic and insurance information as indicated in the Pre-Registration process. Completes all required documentation and prioritizes all insurance coverage's as primary, secondary, tertiary. Quality of registration data collected for the organization impacts revenue/reimbursement time.

Responsibilities

Epic Accounts:
  • Create Epic accounts from scheduling appointment. Attempt to obtain demographic and insurance information as indicated in the Pre-Registration Minimum Data Set, Documentation Standards and Situation Response Guidelines to create, update and secure accounts. Screens and completes all required documentation and prioritizes all insurance coverage's as primary, secondary, tertiary. Completes required MSP questionnaires for all appropriate patients.

Customer Service:
  • Answer questions regarding patient's appointment or transfer to the appropriate scheduling department, service area, or physician office.

Worklists:
  • Properly codes Daily Worklist according to Worklist Coding Standards appropriate to the specific account situation. Effectively organizes prioritization of Daily Worklist task. Ensures Worklist coding is consistent with documentation in LastWord. Secures all applicable accounts in timely manner as defined by Due Diligence Standard while maintaining department productivity and quality standards.

Productivity and Communication:
  • Must maintain facility established productivity standards and Patient Accounts Quality Guidelines. Reports improvements, problems and changes as it relates to insurance verification to Department Management. Performs other duties as assigned in Access Unit Department.


Qualifications

Education: High school diploma or GED required

Experience: 1-3 years of experience in registration, billing, customer service, or managed care organization preferred

Required Skills and Knowledge:
  • Analytical skills; able to problem solve.
  • Computer Literacy
  • Excellent communication, problem solving skills, and ability to deal with customers who are often adversarial.
  • Ability to interact independently to resolve customer service issues.