Patient Access Rep FT/40HRS

Company: CHRISTUS Health
Location: Santa Fe
Posted on: September 23, 2022

Job Description:

Description
PAR I: Have an introductory knowledge of the health system and what services are offered. Have full working knowledge of one of the following areas listed below:

Able to schedule ancillary procedures appropriately, keeping location instructions, patient demographics and insurance requirements in mind while receiving support from leadership.
Able to schedule primary and specialty office visits appropriately, keeping location instructions, patient demographics and insurance requirements in mind while receiving support from leadership.
Employee will verify eligibility; obtain benefits as well as any pre-authorizations or referrals needed. Position is also responsible for data entry into EPIC as indicated for assigned OP surgeries, IP surgeries, and any diagnostic procedures.
Employee will verify patient demographics, scheduled date and place of service for upcoming procedure as well as collect any co-pays, patient payment estimator (PPE), past due amounts or bad debt the patient may have. Employee will obtain the patient payment (PPE) take full or partial payments as well as set up payment plans.
Accuracy level and customer service scores must be consistent with the expectations of a new employee and the employee must continually desire to learn new objectives while increasing their accuracy level and customer service scores through training and coaching. Employee must adhere to all employee codes of conduct to ensure their actions are consistent with the mission of Christus St. Vincent Health System as we continue to extend the Healing Ministry of Jesus Christ. This positon follows departmental productivity and quality control measure as set forth my management.

PAR II: Have in depth knowledge of the health system and has the ability to work more complex cases without much support from Patient Access Specialist or others. Accuracy level, productions numbers, customer service scores and attendance requirements must be consistently met or exceeded with the understanding that should any of the scores decrease, an action plan up to and including demotion to Patient Access Representative I, may occur. Have full working knowledge of employees hired area as well as working knowledge of one additional area, all areas listed below:

Able to schedule ancillary procedures appropriately, keeping location instructions, patient demographics and insurance requirements in mind while receiving support from leadership.
Able to schedule primary and specialty office visits appropriately, keeping location instructions, patient demographics and insurance requirements in mind while receiving support from leadership.
This role is responsible for prior authorization of services and management of referrals for both internal and external providers.
Employee will verify eligibility; obtain benefits as well as any pre-authorizations or referrals needed. Position is also responsible for data entry into EPIC as indicated for assigned OP surgeries, IP surgeries, and any diagnostic procedures.
Employee will verify patient demographics, scheduled date and place of service for upcoming procedure as well as collect any co-pays, patient payment estimator (PPE), past due amounts or bad debt the patient may have. Employee will obtain the patient payment (PPE) take full or partial payments as well as set up payment plans.

Accuracy level and customer service scores must be consistent with the expectations of a new employee and the employee must continually desire to learn new objectives while increasing their accuracy level and customer service scores through training and coaching. Employee must adhere to all employee codes of conduct to ensure their actions are consistent with the mission of Christus St. Vincent Health System as we continue to extend the Healing Ministry of Jesus Christ. This positon follows departmental productivity and quality control measure as set forth my management

Keywords: CHRISTUS Health, Santa Fe , Patient Access Rep FT/40HRS, Other , Santa Fe, New Mexico