RESPONSIBILITIES

I. 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