Patient Access Rep -32H - Beverly

Job Description

• Registrations:
  • Registers patients presenting for visits.
  • Explains the registration process to patients and responds to patient questions.
  • Processes patient co-payments, co-insurance, deductibles, and balances due.
  • Safeguards cash, checks and receipts and reconciles cash drawer at the end of each business day.
  • Aids patients with Kiosk check-in as needed.
  • Completes the Medicare Secondary Payer Questionnaire for each patient and adjusts patient coverage based on results.
  • Instructs patients and obtains signatures on consent forms, financial forms, and other documents required by the clinical department; distributes documents to patients; scans, processes, and records receipt of all documents collected during registration encounter.
  • Counsels patients regarding non-covered services, obtaining signatures on Advance Notice Beneficiaries (ABNs), consents and waivers.
  • Maintains a neat, orderly registration desk and patient waiting area, securing all confidential patient information.
• Scheduling:
  • Initiates patient scheduling activities by prioritizing and accessing a variety of sources, including patient phone calls and digital messaging, orders, scheduled order work queues.
  • Utilizes a variety of information sources to schedule, reschedule, and cancel patient appointments.
  • Establishes working relationships with staff of assigned clinical departments.
  • Remains current on scheduling protocols and applies judgment, or seeks management assistance, to ensure safe patient care when clinical department scheduling protocols do not meet patient needs.
  • Ensures all required key patient scheduling and registration information is captured and verified.
  • Identifies and communicates to Patient Access management issues that may impact the timeliness and accuracy of patient appointments and subsequent patient care.
• Pre-Registration:
  • Efficiently registers patients, capturing and verifying all required information in order to identify the patient, contact the patient, and receive proper reimbursement for services on initial claim submission.
  • Ascertains, creates, and assigns the guarantor for each patient, including personal/family relations, workers compensation insurance, third parties, behavioral health, or others as required.
  • Identifies records and verifies patient insurance coverage using real-time eligibility (RTE); reviews the insurer’s response to each verification request and takes appropriate action based on this response.
  • Applies the appropriate guarantor and insurance to each patient visit.
  • Communicates financial clearance status to patients. Advises patients of contract status, self-pay status, and payment responsibility and schedules patients with Financial Counseling as needed.

Minimum Qualifications

• Education: High school degree or equivalent. Associate’s degree preferred.
• Licensure, Certification & Registration: None
• Experience: 1-3 years related work experience. Experience with computer systems required, including web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint, or Access.

Preferred Qualifications & Skills

• Call Center and/or telephone customer service experience
• Strong typing skills 40+wpm
• Knowledge of medical terminology
• Bilingual written and verbal communication skills
• Familiar with EHR Software

Pay Range

$20.50 – $27.59