• Sr. Pre-Encounter Representative II - Access…

    Queen's Health System (Ewa Beach, HI)


    RESPONSIBILITIES

    I. JOB SUMMARY/RESPONSIBILITIES:

    • Provides work leadership and guidance to the Pre-Encounter Representatives in the following areas, as assigned: Pre-registration, Insurance Verification, Authorizations, Specialty Scheduling and/or Primary Care Provider (PCP) scheduling.

    • Monitors work queues and assigns and coordinates work assignments to ensure optimal workflow and operational efficiencies.

    • Provides administrative support to management, including assisting with on-call rotations as needed.

    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 education.

    • Bachelor’s degree in business or related field preferred.

    • Certification by the National Association of Healthcare Access Management (NAHAM) preferred.

    B. EXPERIENCE:

    • Two (2) years patient access experience in a hospital or physician office setting.

    • Prior supervisory experience and/or demonstrated knowledge and ability to lead staff.

    • Ability and skill in conducting training.

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

    • Strong knowledge of third party reimbursement and Hawaii regulatory requirements related to reimbursement.

    • Proficient understanding of medical terminology.

    • Strong time management, organizational, and interpersonal skills.

    • Strong written and verbal communication skills.

    • Proficiency with Microsoft Office applications (i.e. Word, Excel, PowerPoint) and automated systems.

     

    Equal Opportunity Employer/Disability/Vet