Education/Experience Required: High School Diploma with 2 years of experience in either Patient Access or any of the following related experience; general physician office support or billing office, insurance office, hospitality, or call center (any industry) Intermediate math skills aquired through classroom work or through work experience Knowledge, Skills & Abilities Required: Typing 25 WPM Basic understanding of web-based systems, proficiency in data entry N/A Physical Requirements and Working Conditions: Ability to prioritize and organize workload Sophisticated interviewing, communicaiton and negotiation skills Independent decision making Ability to work hours that verify based on needs of the organization including evenings, weekends and holidays. 6)Identify at risk balances related to Medicare co-days, lifetime reserve days and other Medicare coverage limits and communicate to Financial Counseling, UM and physicians 7)Identify at risk balances relate to Medicaid eligibility rules and communicate to Financial Counseling, UM and physicians 8)Initiates communication to patient when authorization is not obtained and explain the potenital financial impact and the patient responsiblity for unauthorized services 9)Accurately collects and analyzes clinical data in support of prior authorization, and precertification as required by payor guidelines 10)Acquires and maintains current knowledge of all insurance requirements as it relates to patient/hospital responsibility and hospital billing.