Senior Patient Service Representative - Business Services (Full Time, 40, Varied Shift)

RESPONSIBILITIESI. JOB SUMMARY/RESPONSIBILITIES: Provides work leadership and guidance to the Patient Service Representatives. Monitors work queues and assigns and coordinates work assignments to ensure optimal workflow and operational efficiencies. Serves as a resource regarding patient access functions, including registration, cashiering and insurance verification. Monitors the Medicaid/Quest pending and Large Dollar work queues to ensure coverage is obtained and appropriate reimbursement from all parties is obtained. Provides administrative support to management, including assisting with on-call rotations as needed.II. TYPICAL PHYSICAL DEMANDS: Finger dexterity, seeing, hearing, speaking. Constant: sitting. Frequent: standing, walking, lifting and pushing/pulling weight up to 35 pounds, carrying usual weight of 5 pounds up to 15 pounds, reaching above, at and below shoulder level. Occasional: climbing stairs, walking on uneven ground.III. TYPICAL WORKING CONDITIONS: Not substantially subjected to adverse environmental conditions. May be exposed to communicable diseases and other conditions common to a hospital and office environment.IV. MINIMUM QUALIFICATIONS:A. EDUCATION/CERTIFICATION AND LICENSURE: High school diploma or equivalent. Bachelor’s degree in business or related field preferred. Ability to perform 7,200 adjusted keystrokes per hour.B. EXPERIENCE: Three (3) years patient access experience, including prior authorizations, insurance verification and registration in a hospital setting. Prior supervisory experience and/or demonstrated knowledge and ability to lead staff. Prior experience in Cadence scheduling preferred. Ability and skill in conducting training. Strong knowledge and understanding of different payor types (i.e. Medicare, Medicaid, Commercial, HMO, Workers’ Compensation, No-Fault, Capitation, TPL, etc.). Strong knowledge of third-party reimbursement and Hawaii regulatory requirements related to reimbursement. Effective written and verbal communication skills. Strong time management, organizational, and interpersonal skills. Proficiency with Microsoft Office applications (i.e. Word, Excel, PowerPoint) and automated systems.Equal Opportunity Employer/Disability/Vet