Sr. Patient Access Representative (Surgery) Job

The Department of Surgery has an exciting opportunity for a full time Sr. Patient Access Representative. The incumbent oversees pre-registration and clearance activities and serves as functional expert for department peers. Further, the Sr. Patient Access Representative assumes responsibility for documenting all necessary data that will facilitate reimbursement for services rendered by the department.

CORE JOB FUNCTIONS

• Obtains, confirms, and enters demographic, financial, and clinical information necessary for financial clearance of scheduled patient accounts.
  


• Contacts patients' families or physicians' offices to obtain missing insurance information.
  


• Verifies insurance and confirms insurance eligibility of patient coverage benefits, notifying patient and referring physician in the event of failed eligibility.
  


• Collaborates with scheduling departments to identify add-on patients.
  


• Obtains necessary authorizations, pre-certifications, and referrals.
  


• Notifies patients of liabilities prior to date of service and collects funds.
  


• Recommends new approaches to management for enhancing performance and productivity.
  


• Maintains appropriate records, files, and accurate documentation in the system of record.
  


• Adheres to University and unit-level policies and procedures and safeguards University assets.
  

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS

• High School diploma or equivalent required
  


• Minimum 3 years of relevant experience