PATIENT ACCESS SVC CENTER REP I

  • Calvert Memorial Hospital
  • Calvert Health System Prince Frederick Maryland 20678 US
  • Jan 16, 2019
Other Office and Clerical

Job Description

  • JOB DESCRIPTION DETAILS
    • Reports to:
      • Supervisor, Patient Access Service Center
    • Job Summary:
      • Schedules, pre-registers and secure financial clearance for outpatient services served. Communicates estimated financial responsibility to patients and executes concierge concept of centralized scheduling.
    • Education:
      • High School Diploma required.
    • Registration/Certification/Licensure:
    • Experience:

1 to 2 years related experience required.  Call Center experience preferred.

  • Other Requirements:
      • Basic computer skills to include Windows operating system and Microsoft Office products.
      • Basic knowledge of insurance plans, coverage types and medical terminology.
      • Correct all quality assurance errors identified within appropriate time.
      • Communicate effectively with all levels of staff and departments.
      • Demonstrate excellent phone rapport.
      • Demonstrate flexibility and cooperative attitude.
    • Maintains unit-specific and hospital competencies, mandatory learning, and any clinical certifications required in accordance with the Staff Education and Training policy GA-057 and/or any other department requirements.
  • FLSA Status:
    • Non-exempt
  • Populations Served/Patient Care Responsibilities

    All age populations

  • TECHNICAL COMPETENCIES
    • Principle Duties and Responsibilities:
      • Performs all aspects of patient and resource scheduling utilizing multiple technologies.
      • Receive inbound phone inquiries and triage calls appropriately.
      • Follow phone scripts as directed by software system or standardized process in an articulate manner.
      • Provide patients and referring physician's office staff with pertinent scheduling information regarding directions, preps, and procedure test requirements.
      • Obtain accurate pre-registration information via multiple mediums.
      • Validates medical necessity by collecting clinical documentation needed for testing.
      • Utilize technology solutions to determine patient third party payer coverage status, and route patients to the appropriate financial counseling strategy when necessary.
      • Demonstrates knowledge and understanding of various insurance plans through insurance verification and authorization requirements.
      • Performs outbound calls and/or send correspondence regarding visit details and patient portions.