Patient Access Representative

Patient Access Representative

Requirements

• High School Diploma or Equivalent (GED) – (Required)
• Clerical I
• Communication
• Customer Service
• Office Politics And Confidentiality

Responsibilities

• Responsible for front line support to the department.
• Coordinates and performs front line office activities in an effective and efficient manner for the department.
• Greets and registers incoming patients, supports the patient check out process and schedules future appointments as applicable.
• Responsible for checking patients in for appointments and accurately verifying demographics.
• Assures all check-in procedures are completed and monitors patient wait times, communicating changes to the patient as necessary.
• Reads and interprets insurance responses.
• Understands general guidelines and insurance rank requirement to properly assign primary, secondary, and tertiary insurance per encounter.
• Ensures patient receives necessary disclosure and privacy information, obtains necessary legal and financial signatures.
• Communicates financial obligations to patients and collects fees at time of service as appropriate.
• Communicates the purpose of and completes all necessary regulatory forms with patient.
• Completes patient’s visit by scheduling any necessary follow up appointments to include any specialty or ancillary services as possible.
• Processes multi-channel messages related to patient and/or physician requests regarding: appointments, referrals, prescriptions, and complaints.
• Notifies patient or guarantor of anticipated financial responsibility including copays, deductibles, or coinsurances and collects accordingly.
• Performs cash posting following department guidelines.
• Abides by organizational and HIPAA guidelines, privacy practices, patient confidentiality and patient rights.
• Independently works work queues to ensure timely resolution of all accounts.
• Maintain productivity and quality performance expectations.
• Must maintain high regard for confidentiality.
• Accurately performs medical record maintenance and releases.
• Assists with referrals and pre-certifications, at the time of encounter.
• Properly utilizes and maintains patient recall and reschedule lists.

Preferred Qualifications

• Minimum of 1 year-Related work experience (Preferred)