Patient Access Service Representative I Per Diem - TMCOne - Administration Location: Tucson, Arizona Job Category: Clerical Department: 300 TMC One Administration Shift: 1 - Day Shift Schedule: Per Diem Job Code: 300124 TMC HealthCare TMC HealthCare is Southern Arizona's regional nonprofit hospital system with Tucson Medical Center at its core. Each day staff comes to work to use their skills and expertise to improve the health of the entire community, from birth to the end of life. Description SUMMARY : Provides excellent customer service by serving as the initial patient point of contact for TMC HealthCare and the Business office; interviews patients, gathers information, contacts insurance payers to secure eligibility and/or authorizations for services rendered, assists with insurance/hospital questions, prepares admission forms, and enters patient data into the Patient Accounting System. ESSENTIAL FUNCTIONS : Exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff; adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication. Interprets and explains to patients and their families charges, services, and hospital policy regarding payment of bills. Collects deposits or deductibles as required and advises patient or guarantor of insurance benefits and anticipated cost estimates; ensures cash handling follows corporate policies. Ensures completion of financial documentation in accordance with TMCHs credit and collection policies. Explains all necessary compliance forms and obtains patient signature as required for regulatory agencies. Performs medical necessity screening and ensures compliance with system requirements, as applicable. Compiles and distributes information regarding patients personal, insurance, and financial status; provides forms to appropriate staff. Reviews hospital pre-admissions to ascertain and verify hospital coverage and eligibility. Contacts insurance carriers and patients by telephone for appropriate billing information such as insurance identification numbers. Documents all notification, authorization and eligibility information in the registration systems; uses electronic verification tools and web-based resources. Maintains appropriate filing systems, records, reports, and confidential files to ensure quick retrieval of information. Reconciles daily cash drawer. TMCOne Front Desk Assists medical care givers with patient management, tracking and monitoring requirements. Answers phones, pre-screens using appropriate triage skills, within allowable parameters calls in prescription re-fills, calls patients with test results and schedules patients for next appointments. Adheres to TMCH organizational and department-specific safety and confidentiality policies and standards. Performs related duties as assigned. MINIMUM QUALIFICATIONS EDUCATION: High School diploma or General Education Degree (GED), or an equivalent combination of relevant education and experience. EXPERIENCE : Preferred minimum of one (1) year of related experience and knowledge of third party payers and AHCCCS guidelines. Applicants must have basic computer familiarity and experience. LICENSURE OR CERTIFICATION : None Required. KNOWLEDGE, SKILLS AND ABILITIES : Knowledge of office management practices, including billing and scheduling within healthcare. Knowledge of basic computer familiarity and experience and the ability to operate basic office equipment. Skill in evaluating patients needs or following up with a care-giver and then providing follow up support to patients. Ability to read or listen and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence; ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Ability to read and interpret documents such as safety rules, procedure manuals, and governmental regulations. Ability to effectively present information and respond to inquiries or complaints from patients and/or their representatives and the general public. Ability to provide excellent customer service via phone and walk-ins. Ability to interpret and explain insurance benefits and patient financial responsibility. Ability to apply common sense understanding to carry out simple/detailed written or oral instructions. Because it is important for healthcare providers to promote a healthy environment and lifestyle, Tucson Medical Center has implemented a tobacco-free hiring policy. Effective October 1, 2010, TMC will no longer hire applicants who are users of tobacco products. By submitting an application with Tucson Medical Center you agree to commit to being tobacco-free. Reasonable accommodations necessary to apply for employment of individuals with disabilities are available upon request. Any individual seeking accommodations should contact the Director of Human Resources at 520-324-2775. It is the policy of this facility to provide equal employment opportunity without discrimination or harassment on the basis of race, color, religion, sex, age, disability, status as a Vietnam-era or special disabled veteran or any other characteristic protected by state, federal or local law. This facility prohibits any such unlawful discrimination.