Patient Access Rep I

Choose a career to make a difference in people's lives every day at Fisher-Titus, serving the greater Huron County area with a full continuum of health and wellness care.

About the role

The Patient Access Representative provides customer-service coverage for Fisher-Titus and is responsible for successful financial outcomes of all patient services. This position performs registration, insurance verification, telephone coverage, data entry, filing protected health information (PHI), patient referrals, and point-of-service collections while maintaining patient relations and customer satisfaction.

Responsibilities

• Promptly fields and/or directs incoming calls, responds to patient and/or staff inquiries, and initiates patient triage slips when necessary.
• Ensures all registration and admission forms are ready for patients to complete upon arrival for service.
• Practices proficient customer-service skills by greeting and treating all patients and staff with respect and discretion.
• Gathers and verifies all appropriate, confidential health and financial information from patients while using various computer software to assure payment for all authorized services.
• Enters new patient data and/or verifies patient records are up-to-date, confirms the completeness of the electronic medical record (EMR), makes changes as necessary, and files records in accordance with Fisher-Titus’s filing system.
• Complies with all organizational, state, and federal laws and registrations related to patient privacy and confidentiality, such as the Health Insurance Portability and Accountability Act (HIPAA).
• Verifies insurance eligibility and benefits within a timeframe determined by Fisher-Titus and obtains pre-authorizations from third-party payers in accordance with payer requirements.
• Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to the patient.
• Identifies patients who will need Medicare Advance Beneficiary Notices (ABNs) of non-coverage and maintains accurate records of authorizations within the EHR.
• Holds sufficient understanding of insurance protocols for referrals, co-payments, and deductibles.
• Performs other clerical duties as assigned.
• Demonstrates knowledge of safety policies and procedures by maintaining a safe environment.
• Exhibits professionalism in appearance, speech, and conduct, ensuring services are provided in accordance with state and federal regulations and organizational standards.
• Other duties as assigned.

Schedule

Part-time at 24 hours per week, based in a hospital outpatient rehab clinic.

Benefits

• Comprehensive benefits package for full and part-time positions, including medical and dental coverage.
• 401K match.
• Paid time off.
• Tuition assistance.
• Shift, weekend, and PRN differentials.