Ewa Beach, HI, 96706, USA
17 days ago
Sr. Pre-Encounter Representative II - Access Center_QHS (Full-Time, Day Shift, 40 Hours)
RESPONSIBILITIES I. JOB SUMMARY/RESPONSIBILITIES: • Provides work leadership and guidance to the Pre-Encounter Representatives in the following areas, as assigned: Pre-registration, Insurance Verification, Authorizations, Specialty Scheduling and/or Primary Care Provider (PCP) scheduling. • Monitors work queues and assigns and coordinates work assignments to ensure optimal workflow and operational efficiencies. • Provides administrative support to management, including assisting with on-call rotations as needed. II. TYPICAL PHYSICAL DEMANDS: • Essential: standing, sitting, walking, stooping/bending, walking on uneven ground, squatting, twisting body, finger dexterity, seeing, hearing, speaking, lifting and carrying up to 20 lbs, pushing/pulling usual weight of 15 to 20 pounds, reaching at and below shoulder level, repetitive arm/hand motions and gripping of an object. • Occasional: kneeling, crawling, climbing stairs, reaching above shoulder level. • Operates various office equipment such as computers, copiers, facsimiles, telephone, typewriter, pneumatic tube system, credit card swipe. III. TYPICAL WORKING CONDITIONS: • Not substantially subjected to adverse environmental conditions. • Work pace varies and is frequently stressful. IV. MINIMUM QUALIFICATIONS: A. EDUCATION/CERTIFICATION AND LICENSURE: • High school diploma or equivalent education. • Bachelor’s degree in business or related field preferred. • Certification by the National Association of Healthcare Access Management (NAHAM) preferred. B. EXPERIENCE: • Two (2) years patient access experience in a hospital or physician office setting. • Prior supervisory experience and/or demonstrated knowledge and ability to lead staff. • Ability and skill in conducting training. • Strong knowledge and understanding of different payor types (i.e. Medicare, Medicaid, Commercial, HMO, Workers’ Compensation, Capitation, TPL, etc.). • Strong knowledge of third party reimbursement and Hawaii regulatory requirements related to reimbursement. • Proficient understanding of medical terminology. • Strong time management, organizational, and interpersonal skills. • Strong written and verbal communication skills. • Proficiency with Microsoft Office applications (i.e. Word, Excel, PowerPoint) and automated systems. Equal Opportunity Employer/Disability/Vet
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