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Patient Access Representative – Specialty Clinics

Patient Access Representative – Specialty Clinics

CompanyGeisinger
LocationWilkes-Barre, PA, USA
Salary$Not Provided – $Not Provided
TypeFull-Time
Degrees
Experience LevelJunior

Requirements

  • High School Diploma or Equivalent (GED) – (Required)
  • Minimum of 1 year – Related work experience (Preferred)
  • Clerical I
  • Communication
  • Customer Service
  • Office Politics And Confidentiality

Responsibilities

  • 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)