Access Representative-Full Time-Variable

Facility

Cape Fear Valley Medical Center

Location

Fayetteville, North Carolina

Department

PFS Registration

Job Family

Clerical

Work Shift

Variable (United States of America)

Summary

Obtain accurate and detailed demographic, financial and clinical information to perform accurate and complete admissions/registrations, while exhibiting warmth, compassion and responsiveness to patients, their families and friends, professionals and co-workers within the hospital.

Major Job Functions

The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time:

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

Minimum Qualifications

The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:

Education and Formal Training :

High school diploma or equivalent required

Work Experience :

1 year experience with Microsoft Windows required

1 year of insurance/clerical experience within a hospital or medical office setting preferred

Knowledge, Skills, and Abilities Required :

Proficiency in reading, writing, and speaking the English language

Knowledge of insurance and collection of payments preferred

Medical terminology knowledge preferred

Ability to type and perform data entry functions at a level required and needed to maintain productivity standards of a department

Excellent verbal and written communication skills

Demonstrated customer service skills to a variety of customers from different cultural and economic backgrounds preferred

Critical thinking skills and ability to problem solve

Multi-skilled with the ability to appropriately handle complexity and stress with the changing needs of the patients, families, visitors, and the Health System

Dexterity to operate office equipment

Answer telephone calls, use personal computer and other business machines extensively

Physical Requirements :

May have eyestrain due to the many hours spent looking at a computer screen

Sitting or standing in intervals for long periods of time

Low to moderate noise level

Bends, reaches, pushes and pulls file drawers to file records and reports

Ability to transport patients and assist with baggage

Regularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds and occasionally lift or move up to 50 pounds

Required Licenses and Certifications

Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity