Patient Access Apprentice- Pre-Services

MaineHealth | Westbrook, ME

Posted Date 3/13/2019
Description
  • Position Summary
    • The Patient Access Apprentice within the PreServices Contact Center connects with patients via outbound telephone calls, and manages calls within the department. They also determine eligibility, insurance coverage, financial responsibility, and perform required pre-authorization procedures, while conveying a caring and professional attitude for all patients over the phone

      Determines insurance coverage, eligibility and performs required pre-authorization procedures. Maintains patient care unit control for all bedded units. Provides comprehensive financial counseling and assistance. Establishes and monitors each patient’s account prior to their visit, during inpatient stays, and up to 5 days post discharge.

      Ensures the accuracy of the patient’s unique identification number and the demographic and financial information use to create an electronic bill. Informs patient of estimated financial responsibilities and collects up-front payments and Co-payments based on the estimate.

      THIS POSITION IS ELIGIBLE FOR A $1000 SIGN ON BONUS!

  • Required Minimum Knowledge, Skills, and Abilities (KSAs)
    • Education: High school graduate or GED.
    • Licensure: None required.
    • Certification: None required.
    • Health industry experience preferred.
    • Customer service in a clinical setting preferred.
    • Able to work in a high volume, fast paced work environment and perform and prioritize multiple tasks simultaneously.
    • Keyboard and data entry skills required. Computer experience is required with Microsoft Word, e-mail, and internet communication, as well as the ability to work effectively with electronic work quality monitoring and electronic systems.
    • Ability to deal effectively with verbally offensive and/or distressed patients and their families.
    • Requires the employee to have experience with or the capability to be trained to a high degree of in analytical and complex problem solving.
    • Mathematical skills sufficient to calculate financial formulas to support applications for Free Care eligibility.
    • Must have the interpersonal skills to deal effectively, cordially and compassionately with a diverse group of patients, physicians, other staff personnel as well as outside hospitals, agencies and the general public. These skills must include the capacity to be sensitive to the individual problems of each patient in obtaining patient information while maintaining a high level of accuracy, solving complex patient placement and payment problems.
    • Must have strong customer service skills with the sensitivity and intuition to detect hidden stresses of problems with the ability to be resourceful and creative in their resolution. Must maintain a high energy and positive outlook, as well as a calm an impartial response in dealing with a wide variety of complains, personalities, levels of stress, complicated situations, illness and urgent demands.
    • Ability to learn how to accurately identify the correct insurance payor out of the constantly changing insurance products, each with potentially multiple and differing contracts applies to the patient being registered.
    • Specialized Knowledge: None required.
Geographic Region
Greater Portland/Casco Bay
Industry
Healthcare

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