Patient Access Central Unit Representative in San Antonio at Parallon

Date Posted: 8/13/2019

Job Snapshot

Job Description

Parallon believes that organizations that continuously learn and improve will thrive. That’s why after more than a decade we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry’s leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.

Work From Home/Remote

Multiple positions are available which include the following hours: 

  1. W-F 9:00 a.m. - 5:30 p.m.Full 
  2. M-F 11:00 a.m. - 7:30 p.m.
  3. PRN position (as needed)    
Job Summary – The PTAC Central Unit Representative is responsible for timely and accurate processes associated with some or all of the following:
•         Pre-registration
•         Insurance verification
•         Pre-Certification
•         Insurance Notification

Duties (included but not limited to):

Duties will be performed by each individual depending on assignment of responsibilities:
•         Perform pre-registration and insurance verification within 3-5 days prior to date of service for both inpatient and outpatient services. For notification received with less than 3 days’ advanced notice perform within 24 hours of notification.
•         Follow scripted benefits verification and pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information in the approved standard format
•         Assign Insurance Plans (IPlan’s) accurately
•         Perform electronic insurance eligibility confirmation when applicable and document results
•         Complete Medicare Secondary Payor Questionnaire as applicable for retention in imaging system (i.e. OnBase)
•         Calculate patient cost share and be prepared to collect via phone or make payment arrangement
•         Contact patient via phone (with as much advance notice as possible, preferably 48 hours prior to date of service) to confirm or obtain missing demographic information, quote/collect patient cost share, and instruct patient on where to present at time of appointment
•         Receive and record payments from patient for services scheduled.
•         Utilize appropriate communication system to facilitate communication with hospital gatekeeper
•         Ensure appropriate documentation is entered in standard format on the patient record. This should be performed in the applicable Health Information System (i.e. Meditech) and if necessary any other subsidiary systems if they are not automatically updated.
•         Contact physician to resolve issues regarding prior authorization or referral forms
•         Research Patient Visit History to ensure compliance with payor specific payment window rules
•         Perform insurance verification and pre-certification follow up for prior day’s walk in admissions/registrations and account status changes by assigned facility as per SSC guidelines.
•         Communicates with hospital based Case Manager as necessary to ensure prompt resolution of pre-  existing, non-covered, and re-certification issues
•         Meets/exceeds performance expectations and completes work within the required time frames
•         Implements and follows system downtime procedures when necessary
•         Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”

Job Requirements


•         Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately.
•         Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
•         Interpersonal skills - able to work effectively with other employees, patients and external parties
•         PC skills - demonstrates proficiency in Microsoft Office applications and others as required
•         Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems
•         Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes, have ability to work quickly and accurately in a fast-paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player, adaptability, analytical and problem solving ability and attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately.


High school diploma or GED required.


One year of related experience required.

Parallon/HCA is an equal opportunity workforce and no one shall discriminate against any individual with regard to race, color, religion, sex, national origin, age, disability, sexual orientation, gender identity or expression, genetic information or veteran status with respect to any offer, or term or condition, of employment. We make reasonable accommodations to the known physical and mental limitations of qualified individuals with disabilities.