Patient Access Representative III - Outer Banks Oncology - Nags Head, NC

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939959

The Outer Banks Hospital

Full-Time

Regular

Vidant Health

About the Outer Banks Hospital

Located in the beautiful coastal town of Nags Head, NC. The Outer Banks Hospital offers high-quality care in a compassionate environment—it’s what we’re known for on the Outer Banks.

We opened in March 2002 as a joint venture between Vidant Health and Chesapeake Regional Healthcare. Our facility includes eighteen acute care medical-surgical beds, two labor and delivery/recovery/post-partum beds, a level II nursery bed, a designated caesarian section room, three operating rooms, outpatient and diagnostic services along with a 24-hour emergency department. Affiliated with The Outer Banks Hospital is The Outer Banks Medical Group (a Vidant Medical Group partner) which is comprised of eight physician practices.

As a community hospital, we offer a broad range of inpatient and outpatient services. We meet the health care needs of our coastal community, whose year-round population of 35,000 swells to 250,000 in the summer months.

We welcome you to make a difference with us and become a part of a collaborative community that touches lives, including yours.

Position Summary

Responsible for creating the first impression of the organization's services to patients and families and other external customers. Essential duties may include performing all pre-arrival duties related to the pre-registration and financial clearance process for both outpatient and inpatient services.?? This position is responsible for collecting proper demographic and financial data to insure hospital bill is paid by a third party payer or the patient, in addition to verifying insurance eligibility, referral coordination, and securing authorization.?? Acts as primary liaison for patients receiving professional and hospital services at Vidant Health.

Responsibilities

Major Areas of Responsibility

Conducts phone interview and completes pre-certification and insurance verification process prior to the patient's scheduled arrival

Collects complete and accurate demographic, financial, and clinical information to properly enter into the electronic health record to properly a hospital registration

Obtains diagnosis and procedure information from patient, clinical department or physician offices to perform ABN/Medical Necessity screening, as required

Reviews registration account for accuracy to ensure the hospital is properly reimbursed

Works closely with physician office staff and utilization review/case management to coordinate certification process (initial authorization and extended stay authorization).

Resolves any insurance verification and financial clearance issue prior to or during hospital service; this involves contacting insurance/third party payers to resolve eligibility and benefits issues and to initiate insurance appeals if necessary

Pre-registers patient by transcribing data provided by the doctor's office

Negotiates deposits and payment arrangements with patients and or guarantors and attempt to collect patient copayments or other uninsured balances on accounts

Explains financial obligations, negotiates deposits and payment arrangements with patients and or guarantors and attempt to collect patient copayments or other uninsured balances on accounts

Verify insurance benefits using the electronic insurance eligibility application (Passport), internet application or telephone calls to insurance carriers, obtain authorizations and pre-certification for applicable visits

Cross trained to perform other functions within the division as assigned

Serves as a coach to new staff as assigned

Provides feedback to management on issues that impact departmental workflow

Provide focused training for individuals identified by the Team Lead and/or Supervisor

Ensure that scheduling and registration reports and work queues are being addressed by Insurance Verifiers

Assist management with special projects and reports

Serve in a lead capacity for departmental goals and initiatives
Hospitality in Action - Being On Your Side

Smile and greet with a warm welcome / refer by preferred name / focus attention and recognize nonverbal cues.

Listen with empathy and intent to understand / show interest in and value for the whole person.

Communicate positive intent.

Provide opportunities to ask questions and respond to emotions, concerns, distress and suffering.
Values

Demonstrates a visible working style, acts in a manner that is consistent with and shows commitment to the values.

Minimum Requirements

High School or Equivalent (GED) is required.

Associate Degree: preferred

Bachelors Degree: preferred

Required

2 to 3 years - Patient Access or Hospital Billing experience is required

3 - 5 years - Customer Service Expeirence is required

Insurance Verification experience

Excellent communication (both written and oral), detail orientation, organization, and multitasking skills required

Proficient computer skills; Experience with Microsoft Office applications (Outlook, Word and Excel)

Preferred

Experience with EPIC and medical office workflows

Insurance Verification Experience

Other Information

This is a full-time, 40 hours per week, position.

This position is eligible for full-time team member benefits.

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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