Patient Access Representative I
Requisition Number: 8458 Reg/Temp Regular
Employment Type: Full-Time Shift Day
Work Schedule: .. Location Name Business Services Building
City: SALT LAKE CITY State UT
Department: UUH CST 10R PAT ACCESS NOVA
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EEO Statement
The University of Utah Health Care is an Affirmative Action/Equal Opportunity employer. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah Health Care is committed to diversity in its workforce. Women and minorities are encouraged to apply.Overview:
As a patient-focused organization, the University of Utah Health Care exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health Care seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA
**This description is only for the Patient Access department**
This position is responsible for a variety of functions within the Revenue Cycle. The incumbent may be responsible to gather insurance information to secure funding, patient registration & check-in. This position routinely works with physicians, case managers, case workers, and patients to resolve issues that arise. The incumbent may collect patient liability money throughout the revenue cycle.
This position is not responsible for providing care to patients.
Responsibilities:
- Completes check-in procedures with may include creation of charts, discussing policies and paperwork with patients, entering information into the computer and directing patients to departments.
- Interviews patients to obtain demographic and insurance information necessary for medical record identification and bill processing in accordance with hospital, state, and federal regulations and procedures.
- Identifies documents and collects patient responsibility money before or at the time of service. Assists patients with questions about financial arrangements, billing, collections or other policies.
- Schedules, registers and arrives appointments for various ancillary services.
- Depending on the area of assignment the incumbent may also perform some of the following duties:
- Obtains prior authorization from insurance companies for procedures and hospital stays. Escalates to the Financial Advocate team and notifies Physician’s office when authorization is not obtained or benefits are inadequate.
- Follows up on denied claims.
- Corrects and edits registration errors to ensure proper billing.
- Screens for liability insurance benefits for patients and initiates claim processing on behalf of the patient when necessary. May file and amend hospital liens to ensure reimbursement.
Knowledge / Skills / Abilities
- Familiarity with commercial or government billing requirements and Health Care Financing Administration (HCFA) regulations.
- Demonstrated ability to discuss topics of insurance coverage, treatment costs, prompt pay and/or financial hardship discounts to patients and/or family members during catastrophic or challenging life events. Such events may include but are not limited to death, amputation and disability.
- Basic knowledge of accounting, word processing and spreadsheets.
- Demonstrated critical thinking, human relation and verbal/written communication skills.
- Ability to navigate through various hospital software applications.
- Demonstrated ability to prioritize and manage a large workload in stressful situations.
Qualifications:
Required
- Two years experience in a health care financial setting or equivalency.
Qualifications (Preferred):
Preferred
- Bilingual language (Spanish) skills.
- Previous experience with medical insurance and prior-authorizations.
Requisition Number: 8458 Reg/Temp Regular
Employment Type: Full-Time Shift Day
Work Schedule: .. Location Name Business Services Building
City: SALT LAKE CITY State UT
Department: UUH CST 10R PAT ACCESS NOVA
Apply for this job:
Interested in this opportunity?
- Apply Now!
- Email this opportunity to a friend/colleague
Socialize this job opportunity to a friend, colleague, or family member:
Share on linkedinShare on facebookShare on twitterShare on emailMore Sharing Services
EEO Statement
The University of Utah Health Care is an Affirmative Action/Equal Opportunity employer. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah Health Care is committed to diversity in its workforce. Women and minorities are encouraged to apply.Overview:
As a patient-focused organization, the University of Utah Health Care exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health Care seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA
**This description is only for the Patient Access department**
This position is responsible for a variety of functions within the Revenue Cycle. The incumbent may be responsible to gather insurance information to secure funding, patient registration & check-in. This position routinely works with physicians, case managers, case workers, and patients to resolve issues that arise. The incumbent may collect patient liability money throughout the revenue cycle.
This position is not responsible for providing care to patients.
Responsibilities:
- Completes check-in procedures with may include creation of charts, discussing policies and paperwork with patients, entering information into the computer and directing patients to departments.
- Interviews patients to obtain demographic and insurance information necessary for medical record identification and bill processing in accordance with hospital, state, and federal regulations and procedures.
- Identifies documents and collects patient responsibility money before or at the time of service. Assists patients with questions about financial arrangements, billing, collections or other policies.
- Schedules, registers and arrives appointments for various ancillary services.
- Depending on the area of assignment the incumbent may also perform some of the following duties:
- Obtains prior authorization from insurance companies for procedures and hospital stays. Escalates to the Financial Advocate team and notifies Physician’s office when authorization is not obtained or benefits are inadequate.
- Follows up on denied claims.
- Corrects and edits registration errors to ensure proper billing.
- Screens for liability insurance benefits for patients and initiates claim processing on behalf of the patient when necessary. May file and amend hospital liens to ensure reimbursement.
Knowledge / Skills / Abilities
- Familiarity with commercial or government billing requirements and Health Care Financing Administration (HCFA) regulations.
- Demonstrated ability to discuss topics of insurance coverage, treatment costs, prompt pay and/or financial hardship discounts to patients and/or family members during catastrophic or challenging life events. Such events may include but are not limited to death, amputation and disability.
- Basic knowledge of accounting, word processing and spreadsheets.
- Demonstrated critical thinking, human relation and verbal/written communication skills.
- Ability to navigate through various hospital software applications.
- Demonstrated ability to prioritize and manage a large workload in stressful situations.
Qualifications:
Required
- Two years experience in a health care financial setting or equivalency.
Qualifications (Preferred):
Preferred
- Bilingual language (Spanish) skills.
- Previous experience with medical insurance and prior-authorizations.