At Shire, we are proud and grateful to employ military veterans and thank them for their contributions to our company and our country. See where your military experience can play a role at Shire by using our military skills translator job search tool below:
RESPONSIBILITIES
I. JOB SUMMARY/RESPONSIBILITIES:
• Provides work leadership and guidance to the Patient Service Representatives. Monitors work queues and assigns and coordinates work assignments to ensure optimal workflow and operational efficiencies.
• Serves as a resource regarding patient access functions, including registration, cashiering and insurance verification.
• Monitors the Medicaid/Quest pending and Large Dollar work queues to ensure coverage is obtained and appropriate reimbursement from all parties is obtained.
• Provides administrative support to management, including assisting with on-call rotations as needed.
II. TYPICAL PHYSICAL DEMANDS:
• Finger dexterity, seeing, hearing, speaking.
• Constant: sitting.
• Frequent: standing, walking, lifting and pushing/pulling weight up to 35 pounds, carrying usual weight of 5 pounds up to 15 pounds, reaching above, at and below shoulder level.
• Occasional: climbing stairs, walking on uneven ground.
III. TYPICAL WORKING CONDITIONS:
• Not substantially subjected to adverse environmental conditions.
• May be exposed to communicable diseases and other conditions common to a hospital and office environment.
IV. MINIMUM QUALIFICATIONS:
A. EDUCATION/CERTIFICATION AND LICENSURE:
• High school diploma or equivalent.
• Bachelor’s degree in business or related field preferred.
• Ability to perform 7,200 adjusted keystrokes per hour.
B. EXPERIENCE:
• Three (3) years patient access experience, including prior authorizations, insurance verification and registration in a hospital setting.
• Prior supervisory experience and/or demonstrated knowledge and ability to lead staff.
• Prior experience in Cadence scheduling preferred.
• Ability and skill in conducting training.
• Strong knowledge and understanding of different payor types (i.e. Medicare, Medicaid, Commercial, HMO, Workers’ Compensation, No-Fault, Capitation, TPL, etc.).
• Strong knowledge of third-party reimbursement and Hawaii regulatory requirements related to reimbursement.
• Effective written and verbal communication skills.
• Strong time management, organizational, and interpersonal skills.
• Proficiency with Microsoft Office applications (i.e. Word, Excel, PowerPoint) and automated systems.
Equal Opportunity Employer/Disability/Vet