Patient Access Pre-Visit Rep 1

Patient Access Pre-Visit Representative I

Job Code: AM4026

M-F | 8am-4:30pm

ABOUT US

We are welcoming a new era in healthcare where achieving good health is just the beginning. At UVA Health Northern VA & Culpeper, we believe in caring for the whole person by getting to know - and making connections with - our patients. By combining the talent and expertise of our people, the breadth of capabilities across our system, and our commitment to helping our communities get better and stay healthy, we are improving the patient experience.

As a UVA Health Northern VA & Culpeper team member, you will have a voice in patient care decisions, support the most advanced medical technologies and feel a strong sense of satisfaction from making a difference in people's lives every day.

JOB TYPE

Classification: Nonexempt

Supervises Positions: No

JOB SUMMARY

Provide scheduling, pre-registration, insurance prior authorization and other pre-visit revenue cycle functions for our customers. Provide aforementioned services including, but not limited to, Medical Imaging, Sleep Lab, Cardiopulmonary Lab, per physician orders/referrals. Schedule appointments in accordance with outpatient services schedules to optimize utilization of resources with emphasis on filling first available appointment slots and payer pre-authorization timeframes. Schedules appointments for Preadmission testing for surgical and special procedure services. Inform patients of any/all necessary pre-procedure preparations including any procedure pre-requisite requirements. Coordinate all necessary resources including radiology, cardiology or anesthesia requirements and complete any/all follow up to clarify physician orders to ensure a safe, seamless, and remarkable patient experience. Coordinates and assists in completion of activities relating to patient's financial responsibility including insurance verification and collection of copays, deposits, etc. Conducts credit card transactions over the phone when appropriate. Pre-register patients at the time appointments are scheduled, including collecting accurate and complete demographic and billing information, verify insurance coverage, coordination of benefits, check CPT against ICD-10 for Medicare medical necessity, provide out-of-pocket payment estimate and collect copay and other patient financial responsibility, conducts credit card transactions over the phone when appropriate, satisfy regulatory requirements, and provide wayfinding guidance/instructions to patients to ensure arrival at their designated point of service.

Financial Acumen: Conducts financial analyses.

• Performs computations using advanced mathematical formulas or equations.
• Develops and produces ad hoc financial reports for users throughout the organization.
• Assists with the completion of financial surveys, month-end closing duties, and in the annual budgeting process.

Quality Improvement: Assists in efforts to improve the quality of financial services.

• Applies financial accounting standards to specific transactions/situations/scenarios.
• Evaluates/Assesses/Complies with Internal Controls for financial systems.
• Assists with the coordination of the annual external financial audit.

Collaboration: Works with staff across departments for internal and external financial reporting, accounting, and transactional research.

• Works with study coordinators, regulatory team members, leaders, and finance to reconcile any discrepancies in data entered into the financial systems.
• Prepares financial reports, as directed by leaders and executives.
• Provides financial quality assurance and reporting analysis for metrics across departments.

The incumbent may be asked to perform additional duties as assigned.

QUALIFICATIONS

Education: High School Diploma or GED required.

Experience: 1 year experience in hospital or medical setting preferred. Refer to the Life Support Training Policy for additional details.

Licensure: CHAA preferred.

Additional Skills/Requirements Required: Coordinate multiple calls and requests. Interpersonal and communication skills, experience, and competency in customer relation skills in a professional environment. Organize and prioritize work. Exhibits effectiveness as a member of a team and is self-directed. Good problem-solving skills. Detail oriented, work independently and communicate using "remarkable" customer skills. Microsoft office (Excel, Word, PowerPoint, Access) skills.Ability to apply common sense, understanding to carry out instructions furnished in writing or orally. Ability to read and comprehend instructions, correspondence, and memos. Ability to write routine reports and correspondence. Ability to work independently. Ability to set priorities which will expedite essential patient care.Ability to use computer and word processing required Ability to use computer and word processing required.Flexibility, willingness to learn, and open to cross training.

Additional Skills/Requirements Preferred: Medical Terminology and medical scheduling experience.Medical scheduling experience.Knowledge of insurance requirements and prior authorizations.

PHYSICAL DEMANDS

Physical Demand Code: 6A, Customer Service

Work Function/Activity: Sedentary to Light Physical Demand

The job requires frequent sitting and standing, occasional walking, and bending/stooping. Frequent repetitive arm, hand, and finger movements. Proficient communicative, auditory, and visual skills. Attention to detail and ability to write legibly. Ability to lift/push/pull up to 20 lbs. occasionally. This job description may not include all assigned duties, responsibilities, or aspects of the job described. It may be amended at any time at the sole discretion of UVA Health Northern VA & Culpeper.

OTHER

• May require the use of safety equipment, such as HEPA mask, for infection prevention: No
• On call responsibilities as directed: No
• Ability to travel between campus buildings, remote facilities, and out of town as needed: No