Patient Access Pre-Visit Representative II Surgical Services

Job Code: AM4027 
Full Time Days

 

ABOUT US

We are welcoming a new era in healthcare where achieving good health is just the beginning. At UVA Health Northern VA & Culpeper, we believe in caring for the whole person by getting to know – and making connections with – our patients. By combining the talent and expertise of our people, the breadth of capabilities across our system, and our commitment to helping our communities get better and stay healthy, we are improving the patient experience.

As a UVA Health Northern VA & Culpeper team member, you will have a voice in patient care decisions, support the most advanced medical technologies and feel a strong sense of satisfaction from making a difference in people’s lives every day.

 

JOB TYPE

Classification: Nonexempt

Supervises Positions: No

 

JOB SUMMARY

Provide scheduling, pre-registration, insurance prior authorization and other pre-visit revenue cycle functions for our customers. Provide aforementioned services for outpatient services including but not limited to Medical Imaging, Sleep Lab, Cardiopulmonary Lab, Cardiac Cath Lab, Outpatient Infusion Center and Labor and Delivery Services per physician orders/referrals. Schedules appointments for Preadmission testing for surgical and special procedure services. Schedule appointments in accordance with outpatient services schedules to optimize utilization of resources with emphasis on filling first available appointment slots and payer pre-authorization timeframes. Inform patients of any/all necessary pre-procedure preparations including any procedure pre-requisite requirements. Coordinate all necessary resources including radiology, cardiology or anesthesia requirements and complete any/all follow up to clarify physician orders to ensure a safe, seamless, and remarkable patient experience. Pre-register patients at the time appointments are scheduled, including collecting accurate and complete demographic and billing information, verify insurance coverage, coordination of benefits, Conducts credit card transactions over the phone when appropriate, check CPT against ICD-10 for Medicare medical necessity, obtain prior authorizations, provide out-of-pocket payment estimate and collect copay and other patient financial responsibility, satisfy regulatory requirements, and provide wayfinding guidance/instructions to patients to ensure arrival at their designated point of service.

Financial Acumen: Conducts financial analyses.  

Performs computations using advanced mathematical formulas or equations. Develops and produces ad hoc financial reports for users throughout the organization. Assists with the completion of financial surveys, month-end closing duties, and in the annual budgeting process. 

Quality Improvement: Assists in efforts to improve the quality of financial services. 

Applies financial accounting standards to specific transactions/situations/scenarios. Evaluates/Assesses/Complies with Internal Controls for financial systems.  Assists with the coordination of the annual external financial audit. 

Collaboration: Works with staff across departments for internal and external financial reporting, accounting, and transactional research.  

Works with study coordinators, regulatory team members, leaders, and finance to reconcile any discrepancies in data entered into the financial systems.  Prepares financial reports, as directed by leaders and executives. Provides financial quality assurance and reporting analysis for metrics across departments. 

The incumbent may be asked to perform additional duties as assigned.

 

QUALIFICATIONS

Education: High School Diploma or GED required.

Experience: Minimum of 2 years of related experience required. Refer to the Life Support Training Policy for additional details.

Licensure: CHAA required.

Additional Skills/Requirements Required: Coordinate multiple calls and requests. Interpersonal and communication skills, experience, and competency in customer relation skills in a professional environment. Organize and prioritize work. Exhibits effectiveness as a member of a team and is self-directed. Good problem-solving skills. Detail oriented, work independently and communicate using “remarkable” customer skills. Ability to apply common sense, understanding to carry out instructions furnished in writing or orally. Ability to read and comprehend instructions, correspondence, and memos. Ability to write routine reports and correspondence. Ability to work independently. Ability to set priorities which will expedite essential patient care. Ability to use computer and word processing required Ability to use computer and word processing required. Knowledge of Microsoft Office products. Knowledge of medical terminology and medical scheduling. Knowledge of insurance requirements and prior authorizations.

Additional Skills/Requirements Preferred: N/A

 

PHYSICAL DEMANDS

Physical Demand Code: 6A, Customer Service

Work Function/Activity: Sedentary to Light Physical Demand

The job requires frequent sitting and standing, occasional walking, and bending/stooping. Frequent repetitive arm, hand, and finger movements. Proficient communicative, auditory, and visual skills. Attention to detail and ability to write legibly. Ability to lift/push/pull up to 20 lbs. occasionally. This job description may not include all assigned duties, responsibilities, or aspects of the job described. It may be amended at any time at the sole discretion of UVA Health Northern VA & Culpeper.

 

OTHER

May require the use of safety equipment, such as HEPA mask, for infection prevention: NoOn call responsibilities as directed: NoAbility to travel between campus buildings, remote facilities, and out of town as needed: No

 

The University of Virginia, including the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician’s Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information.