Vacancy expired!
DatamanUSA is looking for a Patient Access Supervisor for our direct client based in Buffalo, NY. This is a great opportunity for someone who is a quick learner with excellent people skills.
Job Details:Title: Patient Access Supervisor Location: Buffalo, NY Duration: 30 months Job Description: ) Obtains pre-certification for all inpatient stays; reviews the admission request form for the required information; determines the payers for an admission; assures that all required clinical data is available for the review source. ) Accesses a web-based site to obtain patient data; codes the admitting diagnosis, as well as the proposed reason for admission; searches out required clinical data when none is readily available on the web-based site. ) Telephones the review agent; provides the required demographic, financial, and clinical information to the review agent; documents the pre-certification/pre-authorization numbers on the Hospital Information System. ) Discusses the clinical reason for admission with the review agent's Medical Director and/or nurse; gives detailed information about the planned admission as well as any additional information requested by the review agent. ) Communicates with the financial counselor staff on cases where authorization is denied for the purpose of identifying the potential for a payment plan should the patient elect to continue with the planned admission despite the insurer's denial of the admission. ) Communicates with the internal clinical staff in cases where a denial from the insurer was rendered. Minimum Qualifications:) Bachelor's degree and the equivalent of four (4) years of full-time experience in an ambulatory or outpatient clinic, healthcare business office, or patient access type of environment, including one (1) year experience in a supervisory, administrative, consultative, managerial, or executive capacity; or ) Associate's degree and the equivalent of six (6) years of full-time experience in an ambulatory or outpatient clinic, healthcare business office, or patient access type of environment including one (1) year experience in a supervisory, administrative, consultative, managerial, or executive capacity; or ) High School Diploma or High School Equivalency Diploma and the equivalent of eight (8) years of full-time experience in an ambulatory or outpatient clinic, healthcare business office, or patient access type of environment including one (1) year experience in a supervisory, administrative, consultative, managerial, or executive capacity; or ) High School Diploma or High School Equivalency Diploma and the equivalent of six (6) years of full-time experience as a Patient Access Representative at Roswell Park Comprehensive Cancer Center, including one (1) year experience in a supervisory, administrative, consultative, managerial, or executive capacity. Preferred Qualification:) Possesses knowledge of medical terminology. ) Possesses knowledge of cancer diagnostic and therapeutic information. ) Possesses knowledge of insurance plans. Possesses knowledge of managed care criteria. ) Possesses knowledge of basic patient-related accounting. ) Possesses knowledge of basic coding. ) Possesses effective verbal and written communication with a variety of individuals. ) Consistently demonstrate excellent customer service skills. ) Possesses computer skills including data entry, scheduling, basic spreadsheet, and departmental database systems. ) Possesses good listening skillsVacancy expired!