Patient Access Representative

Buffalo, NY 14201

Posted: 09/27/2022 Job Number: EB-2094809277 Pay Rate: $0.00

Job Description

  • Bachelor’ s degree and the equivalent of four (4) years of full-time experience in an ambulatory or outpatient clinic, healthcare business office or patient access type of environment, including one (1) year experience in a supervisory, administrative, consultative, managerial, or executive capacity; or
  • Associate’ s degree and the equivalent of six (6) years of full-time experience in an ambulatory or outpatient clinic, healthcare business office or patient access type of environment including one (1) year experience in a supervisory, administrative, consultative, managerial or executive capacity; or
  • High School Diploma or High School Equivalency Diploma and the equivalent of eight (8) years of fulltime experience in an ambulatory or outpatient clinic, healthcare business office or patient access type of environment including one (1) year experience in a supervisory, administrative, consultative, managerial, or executive capacity; or
  • High School Diploma or High School Equivalency Diploma and the equivalent of six (6) years of full-time experience as a Patient Access Representative at Roswell Park Comprehensive Cancer Center, including one

(1) year experience in a supervisory, administrative, consultative, managerial or executive capacity.

PREFERRED QUALIFICATIONS:

Possesses knowledge of medical terminology.

Possesses knowledge of cancer diagnostic and therapeutic information.

Possesses knowledge of insurance plans.

Possesses knowledge of managed care criteria.

Possesses knowledge of basic patient-related accounting.

Possesses knowledge of basic coding.

Possesses effective verbal and written communication with a variety of individuals.

Consistently demonstrate excellent customer service skills.

Possesses computer skills including data entry, scheduling, basic spreadsheet, and departmental database systems. Possesses good listening skills.

JOB DUTIES:
  • Obtains pre-certification for all inpatient stays; reviews the admission request form for the required information; determines the payers for an admission; assures that all required clinical data is available for the review source.
  • Accesses a web-based site to obtain patient data; codes the admitting diagnosis, as well as the proposed reason for admission; searches out required clinical data when none is readily available on the web-based site.
  • Telephones the review agent; provides the required demographic, financial and clinical information to the review agent; documents the pre-certification/pre-authorization numbers on the Hospital Information System.
  • Discusses the clinical reason for admission with the review agent’ s Medical Director and/or

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