Access Representative-Full Time-Variable
Cape Fear Valley Health
Summary
Obtain accurate and detailed demographic, financial and clinical information to perform accurate and complete admissions/registrations, while exhibiting warmth, compassion and responsiveness to patients, their families and friends, professionals and co-workers within the hospital.
Job description
Major Job Functions
- Query EAD and enter patient demographics in computer system to obtain accurate patient medical record and account number
- Communicate Medical Center's Collection Policy and collect outstanding balance amounts, deposits and point of service payments
- Verify insurance benefits and obtain prior authorizations for those payers that require pre-authorization
- Verify through Compliance Checker Software all Medicare patient diagnoses to ensure compliance with LMRP guidelines and obtain ABN's as necessary
- Obtain physician orders to support services rendered
- Order ancillary tests within the order entry system
- Assist insurance companies, physician offices, and other hospital departments with patient information, etc.
- Monitor and coordinate patient placement through bed control functions in a timely and patient focused manner
- Other duties as assigned
Minimum Qualifications
Education and Formal Training: High school diploma or equivalent required
Work Experience: 1 year experience with Microsoft Windows required; 1 year of insurance/clerical experience within a hospital or medical office setting preferred
Knowledge, Skills, and Abilities Required
- Proficiency in reading, writing, and speaking the English language
- Knowledge of insurance and collection of payments preferred
- Medical terminology knowledge preferred
- Ability to type and perform data entry functions at a level required and needed to maintain productivity standards of a department
- Excellent verbal and written communication skills
- Demonstrated customer service skills to a variety of customers from different cultural and economic backgrounds preferred
- Critical thinking skills and ability to problem solve
- Multi-skilled with the ability to appropriately handle complexity and stress with the changing needs of the patients, families, visitors, and the Health System
- Dexterity to operate office equipment
- Answer telephone calls, use personal computer and other business machines extensively
Requirements
- High school diploma or equivalent required
- 1 year experience with Microsoft Windows required
- Proficiency in reading, writing, and speaking the English language
- Ability to type and perform data entry functions
- Excellent verbal and written communication skills
- Critical thinking skills and ability to problem solve
- Dexterity to operate office equipment
- Answer telephone calls, use personal computer and other business machines extensively
- 1 year of insurance/clerical experience within a hospital or medical office setting preferred
- Knowledge of insurance and collection of payments preferred
- Medical terminology knowledge preferred
- Demonstrated customer service skills preferred
Company overview
Cape Fear Valley Health is a comprehensive regional healthcare system based in Fayetteville, North Carolina, serving southeastern North Carolina and surrounding regions. Established in 1956, it has grown to become North Carolina's 8th largest health system, operating as a private not-for-profit organization with 7,500 employees and over 1,000 physicians. The system encompasses eight hospitals with 988 total beds, including Cape Fear Valley Medical Center, Highsmith-Rainey Specialty Hospital, Bladen County Hospital, Hoke Hospital, and Harnett Health facilities. Annually, the system serves more than 1 million inpatient and outpatient visits across its network of over 150 locations. Cape Fear Valley Health specializes in cardiac care, cancer treatment, surgical services, neuroscience, pediatrics, rehabilitation, orthopedics, and behavioral health. The organization has earned numerous national recognitions including Healthgrades Top 100 Hospital for Cardiac Care, IBM Watson Top 50 Cardiovascular Hospital, and The Leapfrog Group Grade-A for Patient Safety. With a mission to provide exceptional healthcare for all patients, the system emphasizes patient-centered care, innovation, and community service while maintaining multiple disease-specific certifications from The Joint Commission.