Access Representative

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