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NOPG PT Access Associate - Patient Access Center
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- Strength: Sedentary Push: Sedentary Pull: Sedentary Carry: Sedentary Lift: Sedentary Sit: Constantly Stand: Sedentary Walk: Sedentary B. Work Complexities 1.
- Ensures timely access to medical care by completing patient scheduling, insurance verification, and authorization/pre-certification processes in an accurate, efficient, and timely manner and according to NOPG guidelines and payer rules and regulations.
- Ensures legal compliance, patient safety, and system financial integrity by performing state license verification, sanction and exclusion verification as well as NPI verification on all providers not already listed in the hospital information system.
- Demonstrates working knowledge of payer rules and guidelines including but not limited to, Patient Rights, Medicare Secondary Payer Questionnaire (MSPQ), and, to ensure accurate scheduling, insurance verification, and registration in order to support the Patient Access responsibilities within the revenue cycle and comply with JCAHO, CMS, and DHH requirements.
- Demonstrates basic knowledge of payer types including, but not limited to, Medicare, Medicaid, Other Governmental, Worker's compensation, managed care, and Self-pay in order to schedule patients according to department procedures and payer requirements.
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