Job Description

Job Summary:

The Patient Access Representative II is responsible for securing and providing accurate information to patients, families, and funding sources to facilitate registration, scheduling, and authorization for inpatient, outpatient, and diagnostic services. This role requires excellent customer service skills, the ability to work effectively in a fast-paced hospital or emergency room setting, and proficiency with computer systems including Epic. The representative must demonstrate knowledge of insurance verification, authorizations, and eligibility requirements to support efficient patient access operations.

Responsibilities:

• Register patients and schedule inpatient, outpatient, and diagnostic services.
• Obtain authorizations and verify insurance eligibility and coverage.
• Provide accurate information to patients, families, and funding sources.
• Maintain rapport with diverse customers across various socio-economic and cultural backgrounds.
• Perform data entry and typing to meet productivity standards.
• Utilize Epic and other computer systems to support patient access functions.
• Communicate effectively with internal departments and external customers.

Required Skills & Certifications:

• Minimum of two years' work experience in a healthcare setting or one year in a department-specific call center environment.
• High School diploma, GED, or equivalent.
• General knowledge of managed care health plans, scheduling, registration, billing, and claims payment.
• Basic medical terminology knowledge or six months of demonstrated healthcare work experience.
• Proficiency with personal computers, typing, and data entry functions.
• Knowledge of insurance verification, authorization, and eligibility requirements.
• Experience using Epic electronic health record system.
• Strong customer service and communication skills.

Preferred Skills & Certifications:

• Experience working specifically in an Emergency Room (ER) setting.
• Advanced knowledge of internet tools and healthcare software.

Special Considerations:

• Must be flexible to work night shifts including 18:00-02:30 and occasionally 23:00 shifts.
• Weekend work is included and required.
• Must be able to work in a very busy and fast-paced Emergency Department environment.
• Candidates should have minimal requests for time off (RTO) due to the high-demand setting.

Scheduling:

• Five days per week, 8-hour night shifts primarily from 18:00 to 02:30.
• Flexibility to cover 23:00 shifts when needed.
• Weekend shifts are required as part of the schedule.

Job Tags

Work experience placement, Flexible hours, Shift work, Night shift

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