Job description

Access Care Representative Emergency Department, Binghamton

United Health Services is seeking an Access Care Representative to join our Emergency Department Teams at Binghamton General/Wilson Memorial Hospitals in Binghamton/Johnson City, NY. The Access Care Representative performs a wide variety of activities related to scheduling, registration, financial compliance and customer support for all services performed at UHSH. This is a PER DIEM position.

Shift: Varies

Hours per week: 0

Salary range: $17.20 - $23.28/hour, depending on experience

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Access Care Representative Emergency Department Overview

The Access Care area is a very intricate part of the registration process in both Emergency’ Department’s at UHS. An Access Care Representative performs many job duties including but not limited to; arriving/registering patients into the EPIC system, obtaining all signatures as required by state and federal guidelines, conducts interviews with patients to verify all demographics as well as verify insurance information and eligibility. This role acts as the entry point to UHS

UHS Wilson Medical Center is a 280-bed hospital and Level II Trauma Center. In this position, you’ll serve a medical facility that is a regional leader in cardiac surgery, neurosurgery and neurosciences, cancer care, maternity and high-risk obstetrics, neonatal intensive care, blood disorder treatment, and physical therapy and rehabilitation. Wilson is a bustling hospital and is a 24-hour designated stroke and chest pain center.

Access Care Representative Emergency Department Key Responsibilities and Expectations

Completes registration fields for all patients who are to be pre-registered a minimum of two (2) business days prior to their scheduled appointment; Handles all ER, outpatient walk-in or add-on appointments as well as Inpatient or Observation admission registrations.

Updates and maintains the hospital census and bed board system according to physician and nurse requests.

At times, may assist with scheduling patients for applicable appointments and coordinates the completion of all applicable fields.

Documents contact with insurance carrier, other staff or patient in Soarian Financial, along with result of precertification request. Documentation should include but is not limited to, demographics and insurance information.

Contacts physician, physician office, or patient to resolve issues regarding prior authorization or related information.

Assigns health plans accurately and research patient related encounters to ensure all assigned health plans are linked.

Performs electronic eligibility confirmation when applicable and document results.

Completes Medicare Secondary Payor Questionnaire as applicable for retention in Soarian.

Contacts patient via phone (with as much advance notice as possible, preferably 48 hours prior to date of service) to confirm or obtain missing demographic information and instructs patient on where to present at time of appointment.

Calculates patient cost share and is prepared to collect via phone, face to face or make payment arrangement; Receives and records payments from patient.

Communicates with Financial Advocacy Team as necessary to ensure prompt assistance with patients without insurance.

Researches and appeals insurance carrier denials by reviewing denial reason codes to determine cause; updates encounter appropriately after denial cause is identified and allows encounters to be reprocessed for payment.

Assists in the preparation of patients’ medical record for ambulatory and inpatient surgical cases.

Maintains a high knowledge level on all insurance payers, including managed care, governmental, commercial, no fault, workers’ compensation, etc.
Demonstrate commitment to organizational Values of Compassion, Trust, Respect, Teamwork, and Innovation

Position Qualifications

Minimum:
High School Diploma or equivalent, with two (2) years’ experience in similar field

Preferred:
Associate’s Degree, or five (5) years’ equivalent experience in lieu of degree
Certified Healthcare Access Associate (CHAA)

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