Patient Access Rep I - Bellevue Office

About the role

The Patient Access Representative I provides customer service coverage for Fisher-Titus and assumes the responsibility for successful financial outcomes of all patient services. This position performs imperative duties, including but not limited to appointment scheduling, 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/staff inquiries, and initiates patient triage slips, when necessary.
• Works with patients to coordinate and accurately record appointment times and keeps a record of all scheduled, cancelled, and changed appointments to prevent over- or under-booking.
• Ensures all registration and admission forms are ready for patients to complete upon arrival for service.
• 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 change as necessary, and files records in accordance with Fisher-Titus' 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.
• Holds sufficient understanding of insurance protocols for referrals, co-payments, and deductibles.
• Demonstrates knowledge of safety policies and procedures by maintaining a safe environment.
• Exhibits professionalism in appearance, speech, and conduct.
• Ensures that services are provided in accordance with state and federal regulations, as well as organizational standards.

Requirements

• High School diploma or GED required
• Associate's degree in healthcare administration, business administration, or related field desired
• At least 3-5 years of customer service, administrative, and/or data entry experience required
• At least 3 years of experience in a healthcare environment preferred
• Knowledge of database software applications desired

Qualifications

• Customer service, teamwork, and conflict resolution skills
• Efficient time management skills and ability to multi-task
• Strong written, oral, and interpersonal communication skills
• Demonstrated skills in organization, planning, coordinating, and collaborating
• Strong understanding and comfort level with computer systems and Microsoft Office

Skills

• Knowledge of database software applications
• Customer service, teamwork, and conflict resolution skills
• Efficient time management skills and ability to multi-task
• Strong written, oral, and interpersonal communication skills
• Demonstrated skills in organization, planning, coordinating, and collaborating
• Strong understanding and comfort level with computer systems and Microsoft Office

Benefits

Comprehensive Benefits Package- Medical & Dental coverage, 401K match, paid time off, tuition assistance and more!

Pay

Competitive salary based on experience and qualifications.

Schedule

Full-time position with flexible schedule options available.