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Patient Access Technician

3151 S. 17Th Street
Wilmington, NC
Job ID: 12634
Date Posted: Dec 30, 2022

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Job Description

Description

About NHRMC

NHRMC, established in 1967 in Wilmington, NC, is recognized as a preeminent healthcare organization focused on leading our community to outstanding health. We have an 855 bed network of hospitals and multi-specialty physician group practices with more than 200 physicians. With a network of primary, specialty, neighborhood clinics and regional medical centers; you will find our culture is the very definition of best in practice. Join us and find out how many ways NHRMC offers you the chance to focus on what really matters - our patients and community.

About the Job

Location: NHRMC Business Center A

Department: Patient Access

Full Time Equivalent: FTE: 0.90000

Work Type: 64 to 80 Hours Pay Period

Work Schedule: MIX Hours Day or Evening or Night (12 HRS)

Exempt from Overtime: Exempt: No

What You'll Do

Summary:
Under the general direction of the Manager, the Patient Access Technician is responsible for the accuracy and completion of patient accounts based on departmental protocol, policies and procedures, and compliance with regulatory agencies, to include pre-admit/admit/pre-register/register functions, ensuring all insurance requirements are met prior to patients’ discharge, and pursuing cash collection.

Responsibilities:
1. Analyze insurance coverage and benefits for service to ensure timely reimbursement, obtaining all PAC and/or authorizations as appropriate.
2. Facilitate payment sources for uninsured patients.
3. Determine if patient’s condition is the result of an accident, performing complete research with law enforcement, employers, etc. to determine the appropriate source of liability/payment.
4. Admit/register/pre-register patients, correcting as necessary all patient demographic and financial data.
5. Resolve insurance claim rejections/denials and remedy expediently.
6. Calculate and collect cash payments appropriately for all patients, ensuring reconciliation of daily cash deposit.
7. Maintain general knowledge of CMS guidelines and third party payers, specifically, Medicare, Medicaid, Commercial insurances, HMO’s, PPO’s, POS, indemnity plans, and Worker’s Compensation, etc.
8. Evaluate diagnoses to ensure compliance with the Local Coverage Determination (LCD).
9. Perform those duties necessary to ensure all accounts are processed accurately and efficiently.
10. Promote and maintain excellence in customer service.

Position Requirements

Credentials:

Education:
* High School Diploma

Other information:
Experience: One-year business experience with computer knowledge and data entry preferred, or two (2) years of higher education. Bilingual preferred. Demonstrates standards of performance (ownership, teamwork, communication, compassion) that support patient satisfaction and principles of service excellence.
Performs other duties as assigned.
Individual will possess commensurate combination of education, experience and qualifications.


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