[Hiring] Patient Access Services Representative @Northwell

Role Description

Provides pre-service financial clearance by generating patient estimates, communicating financial responsibility, and collecting payments prior to service. Performs a complete verification check on all health insurance coverage. Demonstrates and promotes service excellence at all times.

• Obtains all financial demographic information from the discharge planner for the organization, as well as outside referrals.
• Verifies all required insurance information, including primary payor data.
• Notifies Nurses of any change in insurance information, as needed.
• Provides information on all insurance coverage and any patient financial responsibility to discharge planner.
• Completes all required elements of the insurance verification form.
• Enters verified insurance information into computer.
• Acts as a liaison between verifications and reimbursement.
• Performs related duties as required.
• Generate and communicate pre-service estimates based on insurance benefits and patient financial responsibility.
• Collect and document patient payments prior to service while providing financial counseling and payment options as needed.

Qualifications

• High School Diploma or equivalent required.
• 1-3 years of relevant experience, required.
• Experience with patient collections and pre-service financial counseling (preferred).
• Experience preparing patient estimates in a healthcare setting (preferred).
• Knowledge of insurance benefits, deductibles, coinsurance, and out-of-pocket calculations (preferred).
• Remote Monday-Friday 10am-6pm.

Requirements

• All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act.
• Duties not mentioned here, but considered related are not essential functions.

Benefits

• The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.
• When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).