West Tennessee Healthcare

Public, nonprofit hospital system with centers

Patient Access Representative 2 - Lift Wellness Center

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeJackson, TN, USANo salary listedIn-person

About the Job

Requirements

High school graduation or equivalent is required.
Two to three years of healthcare or related experience is required.
Demonstrate proficiency in financial clearance, financial counseling, scheduling, registration, emergency department registration, and patient access.
Understand healthcare business and finance principles, especially hospital and physician access services.
Demonstrate knowledge of healthcare management, registration, billing, and collection processes for government, grant, and non-government funding sources.
Demonstrate detailed working knowledge of Patient Access procedures and healthcare reimbursement, including familiarity with various payer mixes.
Demonstrate strong interpersonal skills and the ability to resolve a variety of issues diplomatically.

Responsibilities

Function as a subject matter expert for the department and coach and mentor less experienced staff on Patient Access Services and the Revenue Cycle.
Complete the financial clearance process within Patient Access Services and create a positive first impression of the organization's services for patients, families, and external customers.
Obtain, coordinate, and direct information from patients, physician offices, hospital departments, and clinics to schedule patient appointments; Patient Access representatives may also schedule patients.
Ensure the proper insurance payer plan choice and billing address are assigned in the automated patient accounting system.
Contact payers to verify insurance eligibility as part of financial clearance.
Refer cases to the designated area when medical necessity fails or referrals or authorizations are denied.
Interpret third-party payer policies to establish patient financial liabilities and help patients understand their financial responsibilities.
Collect copayments, coinsurance, and deductibles according to pre-service and point-of-service collection policies and procedures.
Advise the next-level leader of possible postponement or deferral of elective or non-emergent admissions that have not been approved before the service date.
Maintain accurate files for required pre-processing information.
Work with staff at all levels to resolve urgent issues promptly and professionally.
Investigate, resolve, and document patient problems, contacting medical staff, nursing staff, ancillary departments, and administration as necessary.
Assist with cross-training in areas within Patient Access Services.
Perform related responsibilities as required or directed.

Desired Qualifications

Comfort with data entry in Revenue Cycle software, patient management systems, and Windows-based applications is preferred.
Have strong experience with patient accounting systems and knowledge of word processing and spreadsheet applications.

Category:

Admin Support

City:

Jackson

State:

Tennessee

Shift:

8 - Day (United States of America)

Job Description Summary:

This position will function as a subject matter expert for the department and will help coach and mentor less experienced staff on all aspects of Patient Access Services and the Revenue Cycle. This position is responsible for completing the financial clearance process within PAS and creating the first impression of WTH’s services to patients and families and other external customers. Responsible for obtaining, coordination, and directing information from patients, physician offices, hospital departments, and clinics in order to schedule patient appointments. PAS reps may also be responsible for scheduling patients.

ESSENTIAL JOB FUNCTIONS:

Ensures that proper insurance payer plan choice and billing address are assigned in the automated patient accounting system.
Financial Clearance - Contacts payers to verify insurance eligibility.
Refers to the designated area if medical necessity fails or if referrals /authorizations are denied.
Pre-Service/ Point of Service Collection - Interprets third-party payer policies to establish patient financial liabilities and work with patients so they understand their patient financial responsibilities.
Collect co-payments, co-insurance, and deductibles according to pre-service/ point of service collections policies and procedures.
Communication & Miscellaneous - Advises next-level leader of possible postponement or deferrals of any elective/non-emergent admission which has not been approved prior to service date.
Maintains accurate files for pre-processing information as required.
Demonstrates excellent communication skills and the ability to work with all levels of staff to resolve urgent issues in a prompt and professional manner.
Investigates, resolves, and documents patient problems and contact medical staff, nursing staff, ancillary departments, and administration as necessary.
Assists with cross training function in areas within Patient Access Services.
Performs related responsibilities as required or directed.

JOB SPECIFICATIONS:

EDUCATION:

High School Graduate, or equivalent

LICENSURE, REGISTRATION, CERTIFICATION:

EXPERIENCE:

2-3 years of health care or related experience required

KNOWLEDGE, SKILLS, AND ABILITIES:

Demonstrate proficiency and ability performing the following functions: Financial Clearance, Financial Counseling, Scheduling, Registration, ED Registration, and Patient Access.
Understanding of healthcare business and finance principles with special emphasis on hospital and physician access services.
Demonstrated knowledge of healthcare management, registration, billing, and collection processes for government, grant, and non-government funding sources.
Demonstrated detailed working knowledge of Patient Access procedures and healthcare reimbursement to include familiarity with various payer mixes.
Comfort with data entry within Revenue Cycle software, patient management systems and Windows-based applications preferred.
Strong experience with patient accounting systems and knowledge of word processing and spreadsheet applications.
Strong interpersonal skills and the ability to work through a variety of issues in a diplomatic fashion required.

NONDISCRIMINATION NOTICE STATEMENT

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, disability, religion, national origin, gender, gender identity, gender expression, marital status, sexual orientation, age, protected veteran status, or any other characteristic protected by law.

About the Company

West Tennessee Healthcare

Public, nonprofit hospital system with centers

West Tennessee Healthcare is a public, not-for-profit health system based in Jackson, Tennessee, anchored by Jackson-Madison County General Hospital with 635 beds and several centers of excellence, including Women and Children, Cancer, Emergency, Rehabilitation, and Heart care. Care is delivered through a network of facilities offering inpatient, outpatient, emergency, and specialty services, with centers coordinating to provide comprehensive treatment across the region. It differentiates itself by its not-for-profit, community-focused model and integrated centers of excellence under one regional system, rather than a for-profit, multi-provider setup. Its goal is to provide broad, community-focused healthcare across West Tennessee through an integrated hospital network, ensuring access to acute, specialty, emergency, rehabilitation, and cancer and heart services for residents in the area.

Company size: 1,001-5,000
Company stage: Not listed
Total funding: Not listed
Headquarters: Jackson, MS
Founded: 1950

Recently Posted Jobs

Explore more opportunities at West Tennessee Healthcare

See more jobs