Access Representative Full Time-Mid Shift
: Job Details :

Facility Clerk

Hoke Hospital

Raeford, North Carolina

PFS Registration

Clerical

Mid Shift (United States of America)

Summary

Obtains accurate and detailed demographic, financial, and clinical information in order to perform accurate and complete admissions/registrations, while exhibiting warmth, compassion and responsiveness to patients, their families and friends, professionals and co-workers with the hospital.

Major Job Functions

The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time:

Queries EAD and enters patient demographics in computer system to obtain accurate patient medical record and account number

Communicates Medical Center's Collection Policy and collects outstanding balance amounts, deposits and point of service payments

Verifies insurance benefits and obtains prior authorizations for those payers that require pre-authorization

Verifies through Compliance Checker Software all Medicare patient diagnoses to ensure compliance with LMRP guidelines and obtains ABN's as necessary

Obtain physician orders to support services rendered

Order ancillary tests within the order entry system

Assists insurance companies, physician offices, and other hospital departments with patient information, etc.

Monitors and coordinates patient placement through bed control functions in a timely and patient focused manner

Other duties as assigned

Minimum Qualifications

The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:

Education and Formal Training:

• High school graduate or equivalent required

Work Experience:

• Minimum 1-2 years of insurance/clerical experience within a hospital or medical office setting preferred
• Knowledge of insurance and collection of payments preferred.
• Medical terminology knowledge preferred
• Experience with Microsoft Windows required

Knowledge, Skills, and Abilities Required:

• 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 are required.
• Demonstrated customer service skills to a variety of customers from different cultural and economic backgrounds preferred.
• Critical thinking skills and ability to problem solve
• Must be multi-skilled with the ability to appropriately handle complexity and stress with the changing needs of the patients, families, visitors, and the Health System.
• Must have dexterity to operate office equipment.
• Answers telephone calls, uses personal computer, and other business machines extensively.

Physical Requirements:

• May have eyestrain due to the many hours spent looking at a computer screen
• Sitting or standing in intervals for long periods of time
• Low to moderate noise level
• Bends, reaches pushes and pulls file drawers to file records and reports
• Must be able to transport patients and assist with baggage
• Regularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds and occasionally lift or move up to 50 pounds

Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity