• Pre-Encounter Representative II - Access Center…

    Queen's Health System (Ewa Beach, HI)


    RESPONSIBILITIES

    I. JOB SUMMARY/RESPONSIBILITIES:

    • Responsible for scheduling patients for one (1) type of outpatient scheduling, i.e. primary care, specialty care or hospital outpatient departments (HOD). Performs authorization, pre-registration, and insurance verification functions, as assigned.

    • Provides general and specific information to hospital users, patients, families and physician offices.

    • Ensures that patients meet financial requirements.

    • Fosters positive relationships with patients to provide quality service in a pleasant, professional, and timely manner, while being sensitive to guest services.

    • Communicates effectively to service delivery areas to maximize patient flow and customer service.

    II. TYPICAL PHYSICAL DEMANDS:

    • Essential: standing, sitting, walking, stooping/bending, walking on uneven ground, squatting, twisting body, finger dexterity, seeing, hearing, speaking, lifting and carrying up to 20 lbs, pushing/pulling usual weight of 15 to 20 pounds, reaching at and below shoulder level, repetitive arm/hand motions and gripping of an object.

    • Occasional: kneeling, crawling, climbing stairs, reaching above shoulder level.

    • Operates various office equipment such as computers, copiers, facsimiles, telephone, typewriter, pneumatic tube system, credit card swipe.

    III. TYPICAL WORKING CONDITIONS:

    • Not substantially subjected to adverse environmental conditions.

    • Work pace varies and is frequently stressful.

    IV. MINIMUM QUALIFICATIONS:

    A. EDUCATION/CERTIFICATION AND LICENSURE:

    • High school diploma or equivalent.

    B. EXPERIENCE:

    • One (1) year patient access experience in a hospital or physician office setting.

    • Prior experience in insurance verification and registration.

    • Knowledge and understanding of different payor types (i.e. Medicare, Medicaid, Commercial, HMO, Workers’ Compensation, Capitation, TPL, etc.).

    • Knowledge of medical terminology.

    • Strong time management, organizational, and interpersonal skills.

    • Ability to communicate effectively in English, both orally and in writing.

    • Proficiency with automated systems and computer applications.

     

    Equal Opportunity Employer/Disability/Vet