Sibley, IA, 51249, USA
1 day ago
Patient Access Representative
**Location:** Sibley, IA **Worker Type:** Regular **Work Shift:** Day Shift (United States of America) At Osceola Regional Health Center, we provide quality care and exceptional service to all those we serve. We offer a friendly work environment, flexible scheduling, full benefits including retirement match. We would love to have you on our team! **Position Highlights** **SUMMARY:** The Patient Access Representative is responsible for greeting incoming patients and visitors, performing all patient registration, determining eligibility for all applicable payors, and obtaining timely prior authorization while providing excellent care and service to patients, guests, and fellow employees always. **EDUCATION and/or EXPERIENCE:** + Associate degree or equivalent from a two-year college or technical school; or six months to one-year related experience and/or training; or equivalent combination of education and experience required. + Previous experience with ICD 10 or CPT coding preferred. **CERTIFICATES, LICENSES, and/or REGISTRATIONS:** **ESSENTIAL DUTIES AND RESPONSIBILITIES:** + Registers and processes admissions for all patients. + Determines eligibility for all applicable payers by obtaining prior authorizations from insurers for medical tests, procedures, surgeries, and any other prior authorizations required by the patient’s insurance carrier or Local Coverage Determination (LCD) if needed. + Appropriately documents prior authorization, provides timely information to the Lead Patient Access Representative regarding the prior authorization process, and communicates information to performing facility, physician, clinic staff and patient and/or patient’s family as necessary. + Obtains written or verbal informed consents from patients; views nursing charts to verify consent. + Demonstrates good rapport and cooperative working relationships with administrative staff, all hospital departments, physicians, and co-workers. + Answers and directs calls as necessary. + Prepares and enters daily charge tickets. + Receipts all checks received in mail and prepares daily deposits. + Completes estimates and communicates with patients regarding payment expectations. + Assists patients with inquiries regarding insurance and billing questions. + Remains visible and accessible to staff and patients. + Scans and files invoices. At Avera, the way you are treated as an employee translates into the compassionate care you deliver to patients and team members. Because we consider health care a ministry, you can live out your faith, uphold the dignity and respect of all persons while not compromising high-quality services. Join us in making a positive impact on moving health forward. The policy of Avera to provide opportunities for all qualified employees or applicants without regard to disability and to provide reasonable accommodations for all employees or applicants who may be disabled. Avera is committed to ensuring compliance in accordance with the Americans with Disability Act. For assistance, please contact HR Now at 605-504-4444. Additional Notices: For TTY, dial 711 Avera is an Equal Opportunity/Affirmative Action Employer: Minority/Female/Disabled/Veteran/Sexual Orientation/Gender Identity.
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