Overview:
The Patient Access Representative performs functions that enhance patient access and increase revenue to the clinic. Advises patients regarding insurance coverage and financial obligations, completes registration and scheduling of patients in the automated registration/scheduling system, and collects payments. Hours are Monday-Friday, 9:30am - 6:00pm. As a health care organization, we have the responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. We require that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment.
Responsibilities:
Acknowledges and prints patient arriving into the clinic and prints the required paperworkResponsible for the accurate and complete collection and capture of patient registration data for an assigned area in the pre-registration and verification systemReviews and verifies scheduled ambulatory visits for an assigned area, including confirmation that valid insurance coverage exists, that a referral is authorized for specialty visits, and the accuracy of primary care physician data for all managed care patientsObtain referral waiver forms when appropriateObtain signature on ABN when appropriate and can provide education to patient on ABN processCollect co-payments, self-pay payments and/or payment in full or partial payment on any balances on accountUtilizes scheduling system for many types of appointmentsEnters managed care referralProvides general information to patients and visitors while building sustainable relationships and trust with patients through open and interactive communicationOther duties as assigned.
Qualifications:
Associate degree or equivalent relevant experienceMinimum of 2 year experience in insurance, managed care, private physicians office practice, or hospital registration settingProven customer support experience, with the ability to demonstrate excellent communication and presentation skillsThorough knowledge and understanding of health care delivery systems with special emphasis on the referral management process for managed care providersThorough understanding of Medicare and Medicaid programs with the ability to identify primary payersStrong phone contact handling skills and active listeningKnowledge of personal computer and automated registration/scheduling systemsKnowledge of insurance and collection of paymentsKnowledge of hospital admissionsDemonstrated skill in customer service, team building and problem solving