Patient Access Representative 3

Schedule: Monday–Friday, 6:30 AM–3:00 PM.

The Patient Access Representative 3 (On-Site) (U) oversees the registration and financial clearance activities that will facilitate reimbursement for services rendered by the department and serves as functional expert for department peers.

CORE JOB FUNCTIONS:

• Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient accounts.

• Contact patients’ families or physicians’ offices to obtain missing insurance information.

• Verifies insurance and confirms insurance eligibility of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility.

• Collaborates with scheduling departments to identify add-on patients.

• Obtains necessary authorizations, pre-certifications, and referrals.

• Notifies patients of liabilities prior to date of service and collects funds.

• Maintains appropriate records, files, and accurate documentation in the system of record.

• Serves as a lead resource for lower level Patient Access Representatives.

• Recommends new approaches to management for enhancing performance and productivity.

• Adheres to University and unit-level policies and procedures and safeguards University assets.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS:

• High School diploma or equivalent

• Minimum 3 years of relevant experience

Knowledge, Skills, and Attitudes:

• Knowledge of generally accepted accounting procedures and principles.

• Skill in completing assignments accurately and with attention to detail.

• Ability to process and handle confidential information with discretion.

• Ability to work independently and/or in a collaborative environment.

• Ability to communicate effectively in both oral and written form.

The above statements are intended to describe the general nature and primary responsibilities of this job classification. Specific duties and tasks may vary based upon departmental needs. Other duties may be assigned to the above consistent with the knowledge, skills, and abilities required for the job. This a job profile description and not all duties may be assigned to a specific position in each individual department.