Patient Access Representative - Admissions - Greenville, NC

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917540

Vidant Medical Center

Full Time

Regular

Summary

About Vidant Medical Center

Vidant Medical Center is a fully accredited, 900+ bed regional referral facility encompassing a Level-1 Trauma Center and extensive inpatient and outpatient services including intensive and intermediate care, pediatrics, bariatrics, obstetrics and gynecology, surgery, pain management and psychiatry.

Responsibilities

  • Perform patient registration and/ or preregistration.
  • Complete patient registrations functions.
  • Obtain signatures for consent for treatment.
  • Explain financial obligations, including collection of co-pays, deductible and/or co-insurance.
  • Coordinates scheduling of patient procedures by working with physicians and or physician's office staff, clinical staff of various departments via telephone or fax.
  • Enters all information into the computerized medical record and/or patient care management application as indicated for billing and/or UR follow-up.
  • Coordinates printing and faxing of various schedules for use by designated staff.
  • Obtains authorizations, CPT and ICD-9 codes for prior approval.
  • Verify insurance benefits using the electronic insurance eligibility application (Passport), Internet applications or telephone calls to insurance carriers.
  • Create referrals into Prelude when authorizations are obtained.
  • Validate authorizations by searching Web-sites to ensure prior approvals are accurate and complete.
  • Provide insurance benefits interpretation and counseling based on the information provided through electronic eligibility functions, such as Passport, or manual 3rd party payer notification.
  • Obtain authorizations and pre-certification for applicable visits.
  • Enter all information into the computerized medical record and/or patient care management application as indicated for billing and/or UR follow-up.
  • Scan all pertinent documents, including precertification documents, benefits information and insurance card copies.
  • Validate authorizations by searching Web-sites to ensure prior approvals are accurate and complete.
  • Other duties as assigned.
  • Cross-trained to perform other functions within the division.
  • Report deficiency trends or inconsistencies to the Data Quality Department.

Minimum Requirements

  • Previous experience in a physician's office, hospital or other healthcare agency preferred.
  • Associate College Degree: Healthcare Management, Medical Office Technology, Business, Finance, Public Health or other related degree.

Other Information

  • 1 full time vacancy, 7:45 am - 4:30 pm.

General Statement

It is the goal of Vidant Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer.   Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

 

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