Job Details

Position Overview

We are seeking a dedicated Access Management Representative to join our team in a busy emergency department setting within the Pacific Northwest region. This role involves interviewing patients or their representatives to collect essential personal, financial, and demographic information, preparing patient records, and ensuring accurate data entry into computer systems. You will verify insurance coverage, obtain necessary signatures, and handle payments such as co-pays and deductibles. Maintaining accuracy and a commitment to excellence in all tasks is essential.

Key Responsibilities

• Maintain a safe and clean work environment, adhering to unit safety and infection control protocols.
• Exhibit excellent interpersonal skills when interacting with colleagues, patients, physicians, and the public.
• Conduct thorough patient interviews and enter complete information into the system, ensuring all required signatures and financial data are collected to support reimbursement processes.
• Perform special duties as assigned to support departmental needs.
• Assume cashiering duties during after-hours and weekends as needed.
• Verify insurance eligibility and benefits promptly, obtaining pre-authorizations from third-party payers in line with their requirements.
• Confirm medical necessity according to Centers for Medicare & Medicaid Services (CMS) standards and communicate relevant coverage information to patients.
• Notify patients of any deposits or deductibles required prior to registration and provide cost estimates upon request.
• Ensure patients are appropriately guided through registration procedures and their questions are addressed.

Qualifications

• Minimum of one year of computer data entry experience.
• At least one year of customer service experience working with patients or customers.
• Preferred: One year of healthcare insurance verification experience.
• Preferred: Knowledge of medical terminology.

Education

• High school diploma or GED required.

All candidates must successfully pass a physical evaluation, urine drug screen, and pre-employment background checks prior to starting work.