Job Opportunities API

The Patient Access Representative delivers high-quality customer service to patients of all ages, their families, visitors, medical staff, clinicians and co-workers, ensuring all interactions are courteous, timely and respectful. The Patient Access Representative handles all business functions in an assigned clinical department area to include reception, scheduling, and registering patients for appointments and/or procedures. This position also secures the appropriate patient information; ensures that registration data is correct and accurate; validates insurance eligibility, ensuring accurate data entry; collects co-pays, and supports financial counseling and financial clearance, as necessary. Essential Job   Statements Greet Patients/Answer Telephone Provide s   exceptional customer service by welcoming patients and   visitors   in a friendly ,   p rofessional, and respectful   manner .    E nsure s   individuals   are respected   and informed,   communicat ing   clearly   and   effectively,   and   utilizing   appropriate language   resources as needed .    Assist s   with   traffic flow in and out of the clinic as needed.    Address es   patient   needs promptly, and maintain s   a   courteous, professional tone   at all times . Co-payment Collectio n &   Registration Data C ollect s   all   patient   co-payments and deposits   accurately per   payer ,   following   department guidelines .    Verifies and updates registration data, including demographic and insurance information.   Copies and records insurance information per department standards. Follows department policies for cash handling, including cash reconciliation and deposit preparation . Referral Management Verifies insurance coverage and understands requirements for HMO, managed care, government and private plans.   Secures required referrals/authorizations and links them correctly in the referral module.   Obtains needed referrals and authorizations before scheduled procedures, tests ,   injections   and surgeries. Communicates plan-specific referral/authorization requirements to patients and providers.     Provides pre-payment guidance for self- pay   patients and offers financial assistance. Prepares cost estimates, explains payment   expectations   and   documents   all interactions in the patient account . Appointment Scheduling, Lab & Test Order Entry Correctly s chedule s   clinic appointments   through   the   medical records software/communication platform .   Transcrib es   physician orders accurately and completely ( i.e.   lab test, ancillary test) and   records them in the   appropriate system(s)   according to the physician’s instructions and VCUHS policy. Coordinat es   the collection of pre-operative testing and paperwork, where   appropriate . Patient Record/Verify Registration Data Maintains   proficiency   in all aspects of patient medical record keeping in an organized manner.   Assist s   in   preparation of   the chart before the patient   visits . If applicable,   assist s   in breaking   down the chart at the completion of the   patient's   visit.   Ensur es   that all patients   arrived   in the appointment scheduling system before the end of the appointment day. Where   appropriate , appointments are documented as “no-shows” or cancellation s   before the end of the appointment day.   Obtain s   signatures and   complet es   the required forms including those from managed care and other insurance plans. E-Documents Management & Scanning Obtains and scans all   appropriate   patient   medical   documentation . Miscellaneous Responsibilities Notifies supervisor of issues involving violation of VCUHS policies or procedures. Performs other duties as assigned and/or   participates   in special projects   to   support the mission of VCUHS and department. Patient Populatio n: N/A Employment Qualifications Education Required:  High   School Diploma or equivalent Education Preferred:  Associates   or   Bachelor’s Degree in Accounting , Finance, Business Administration, Healthcare   Administration   or closely related field from an accredited program. Licensing/ Certification Licensure Required:  N/A Licensure Preferred:  N/A Certification Required:  N/A Certification Preferred: N/A Minimum Qualifications Years   and Type   of   Required   Experience: Demonstrated experience using computers, Microsoft Office applications, and web-based platforms Experience Preferred:   Work experience with medical insurance, HMO, managed care, electronic medical billing/order entry/registration systems, and appointment scheduling. Previous work experience in a healthcare setting ,   and    knowledge   of medical terminology . Other Knowledge,   Skills   and Abilities Required:  Able to perform daily activities with minimal supervision: being   self-directed   in the accomplishment of routine activities. Other Knowledge,   Skills   and Abilities   Preferred:  Depending on assignment,   may   be   required   to work off-shifts and/or   weekend   and holidays. Working Conditions: Periods of high stress and fluctuating workloads may occur.   General office environment.   May have periods of constant interruptions.   Prolonged periods of working alone. Physical Requirements Physical Demands: Lifting/ Carrying   (0-50 lbs.), Push/ Pull   (0-50 lbs.), Stoop, Kneel, Squat, Crawling, Climbing, Balance, Bending Work Position: Sitting, Walking, Standing Additional Physical Requirements/ Hazards Physical Requirements: Manual dexterity (eye/hand coordination), Perform shift work, Hear alarms/telephone/tape recorder, Repetitive arm/hand movements Hazards: N/A Mental/Sensory – Emotional Mental/Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Reading, Logical Thinking Emotional : Fast pace environment, Able to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Able to Adapt to Frequent Change EEO Employer/Disabled/Protected Veteran