Core - Patient Access Representative

Position Summary

The Per Diem Call Center Representative facilitates the process between new patient registration, insurance verification, and referral management. This role serves as a liaison between physician practices and patients to help ensure patients receive timely, coordinated, and high-quality care.

Key Responsibilities

• Pre-register patients and verify demographic and insurance information prior to appointments and procedures.
• Communicate patient financial responsibilities, including co-pays, deductibles, and co-insurance expectations.
• Review and manage insurance eligibility through Navicure reports and ensure accurate primary care provider assignments.
• Contact patients regarding insurance discrepancies and update information as needed before scheduled visits.
• Cookordinate and schedule new patient appointments across Core Physicians practices.
• Aid patients with obtaining medical records, updating primary care provider information with insurance carriers, and navigating appointment logistics.
• Assist with obtaining referrals and prior authorizations as required and schedule appointments with Core specialists under provider direction.
• Identify, track, and communicate authorization and system-related issues while helping develop solutions to address root causes.
• Serve as a liaison between patients, practices, and insurance companies to resolve issues efficiently.
• Respond to patient calls, communications, and staff inquiries within the same business day.
• Grant access to the Navicure website as needed and provide support and training to practice staff.
• Partner with the coding department to verify eligibility for hospital-based services.
• Advocate for patients by assisting them in navigating healthcare and scheduling processes.

Qualifications

• High School Diploma or GED
• Local Applicants only, 100% remote option once fully trained.
• (training availability during the first few weeks will be 3-4 days including every Monday as a mandatory day to be available)
• High speed internet service (non dial up)
• Hours will vary based on business/department needs