Patient Access Representative 1

Patient Access Representative 1

Requisition Number: 3708
Job Title: Patient Access Representative 1
Department: UUH CST 10R PAT ACCESS NOVA
Reg / Temp: Regular
Employment Type: Full Time
Shift: Days
Work Schedule: Monday-Friday 8am to 4:30pm
Location: BUSINESS SERVICES BUILDING - 127 SOUTH 500 EAST
City: SALT LAKE CITY
State: UTAH

Job Description:
: As a patient-focused organization, the University of Utah Health Sciences 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. The Health Sciences Center seeks faculty and staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission.

Position Summary:

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.

Essential Functions:

- 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.
- 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.

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.

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Qualifications:
Required
- Two years experience in a related health care setting or equivalency.

Preferred
- Bilingual language (Spanish) skills.
- Previous experience with healthcare insurance and prior-authorizations.