Patient Access Reviewer

If you are looking for a great place to grow your career at a community hospital focused on excellent patient experience and nursing excellence, St. Joseph Hospital, a member of Catholic Health, may be what you are seeking.   We offer career advancement, a rich tuition reimbursement program, medical benefits, a generous pension plan, 403B for retirement and PTO plan.  Join us and Long Live Long Island where we care for Every Patient, Every Time.

Located in Bethpage, St. Joseph Hospital that provides comprehensive inpatient and outpatient medical, critical care and surgical services. Its Emergency Department cares for approximately 33,000 patients a year. Other vital services include an Ambulatory Surgery Unit, The Center for Sleep Medicine, Hyperbaric and Wound Healing Center, CHS Cancer Center, The Center for Speech and Swallowing Disorders, Diabetes Education Center and a full scope of outpatient radiology services, including Cardiac CT.

Responsibilities:  

• Responsible for insurance verification and ensures all required pre-certifications/authorizations are obtained and on file per Managed Care guidelines.
• Responsible for conducting pre-admit and/or day of testing patient interviews to ensure complete and accurate demographics and insurance information are entered into the Hospital Information System as well as scheduling in EPIC.
• Responsible for ordering tests and procedures in Cadence and Radiant. 
• Communicates efficiently with Radiology, Wound Care and Infusion Staff as well as patient and physician's offices. 
• Ability to give patient information and direction regarding preparation for tests, insurance authorizations, explaining hospital disclosures and consent forms.  
• Advises patients of their financial responsibility payable at time of service.
• Responsibilities include financial counseling, screening self pay patients, accepting patient payments and related clerical/secretarial duties.

Qualifications:

• High School diploma or equivalent required, some college or equivalent education desirable.  
• Must have previous experience in verification and scheduling. 
• Medical insurance background as well as medical terminology and knowledge of CPT codes preferred.
• Two or more years in a health related field preferably in insurance verification.
• Excellence in Customer Service, interview and data accumulation skills, excellent computer/keyboard skills and internet skills are required.
• Ability to navigate from one software system to another efficiently.
• Thorough knowledge of Patient Access and ability to cover any shift needed as well as all modules of EPIC. 

The salary range or rate listed does not include any differential pay or other forms of compensation that may be applicable to this job and it does not include the value of benefits.

At Catholic Health, we believe in a people-first approach. In addition to the estimated base pay provided, employees are eligible for generous benefits packages, generous tuition assistance, a defined benefit pension plan, and a culture that supports professional and educational growth.