Wahiawa, HI, 96786, USA
1 day ago
Sr. Patient Service Representative - ER Registration_QMCWH (Full-Time, 40 Hours, Shift Varies)
RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: • Provides work leadership and guidance to the Patient Service Representatives. Monitors work queues and assigns and coordinates work assignments to ensure optimal workflow and operational efficiencies. • Serves as a resource regarding patient access functions, including registration, cashiering and insurance verification. • Monitors the Medicaid/Quest pending and Large Dollar work queues to ensure coverage is obtained and appropriate reimbursement from all parties is obtained. • Provides administrative support to management, including assisting with on-call rotations as needed. II. TYPICAL PHYSICAL DEMANDS: • Finger dexterity, seeing, hearing, speaking. • Constant: sitting. • Frequent: standing, walking, lifting and pushing/pulling weight up to 35 pounds, carrying usual weight of 5 pounds up to 15 pounds, reaching above, at and below shoulder level. • Occasional: climbing stairs, walking on uneven ground. III. TYPICAL WORKING CONDITIONS: • Not substantially subjected to adverse environmental conditions. • May be exposed to communicable diseases and other conditions common to a hospital and office environment. IV. MINIMUM QUALIFICATIONS: A. EDUCATION/CERTIFICATION AND LICENSURE: • High school diploma or equivalent. • Bachelor’s degree in business or related field preferred. • Ability to perform 7,200 adjusted keystrokes per hour. B. EXPERIENCE: • Three (3) years patient access experience, including prior authorizations, insurance verification and registration in a hospital setting. • Prior supervisory experience and/or demonstrated knowledge and ability to lead staff. • Prior experience in Cadence scheduling preferred. • Ability and skill in conducting training. • Strong knowledge and understanding of different payor types (i.e. Medicare, Medicaid, Commercial, HMO, Workers’ Compensation, No-Fault, Capitation, TPL, etc.). • Strong knowledge of third-party reimbursement and Hawaii regulatory requirements related to reimbursement. • Effective written and verbal communication skills. • Strong time management, organizational, and interpersonal skills. • Proficiency with Microsoft Office applications (i.e. Word, Excel, PowerPoint) and automated systems. Equal Opportunity Employer/Disability/Vet
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