Senior Patient Access Representative Psjh

The caregiver must be sufficiently fluent in the English language to satisfactorily perform the essential functions of the position. The degree of fluency required will vary depending upon the nature of the position. Caregivers are expected to honor the Mission, Values, Vision and Promise and adhere to the Code of Conduct, policies and standards of their organization. For direct patient care roles: Performs and maintains currency of essential competencies as required by specific area of hire and populations served. • Perform full duties and task of a Patient Access Representative. • Act as an expert resource on Registration and Financial Clearance functions for department staff (e.g., answer account questions, assist with new staff training, etc.). • Has a deep knowledge of insurance benefits and understands fully intricacies of third party liability and workers compensation. • Understand and implements appropriately the ministry’s policies on discounts, patients payments plans, and global services. • Identifies and makes recommendations on new approaches to enhance performance and productivity when appropriate. • Participates actively in all education opportunities provided by department manager.

• Analytical and problem-solving skills required. • Advanced Knowledge/Skills/Abilities: • Ability to fill in as an acting supervisor as needed. • Knowledge in federal regulations including HIPAA, AB1025/1627, Fair Debt Collections Practices and Medicare guidelines. • Exhibits knowledge of Managed Care Contracting, to include in network vs. out of network benefits. • Knowledge on applicable rules/regulations/guidelines governing Managed Care and Government sponsored coverage and reimbursement. • Advanced knowledge in medical terminology. • Advance knowledge on financial clearance functions.