Under general supervision of the Patient Access Manager or Supervisor, follows established policies and procedures; gathers and records all necessary information in the process of financially clearing a hospital procedure or stay. Demonstrates expertise with all proficiencies of a PAS 2. Responsible for verifying demographic, confidential clinical and financial information necessary to accurately and efficiently execute insurance verifications, notifications, authorizations, pre-certifications, et al, to support claim processing and reimbursement for scheduled and unscheduled hospital services. Responsible for calculating, communicating and collecting all patient financial responsibilities based on the patient's health plan(s) prior to the scheduled date of service. Recognizes and adheres to all CMS, JCAHO, and HIPAA requirements when validating the hospital account. Works directly with nurses, medical staff, ancillary departments, insurance carriers, care management/utilization, HIMS, scheduling, and other external professionals to assist patients with obtaining health care and financial services Responsible for performing job duties in accordance with the mission, vision and values of TGH.

Qualifications

High School Diploma or G.E.D., AND an approved medical terminology certification or med term course completion with satisfactory scores within 6 months of hire AND minimum (3) three years experience as a PAS 2 or equivalent with scheduling and/or registration and/or insurance verification in a healthcare setting. Moderate expertise with computer programs including but not limited to Microsoft Office and Database programs.