Patient Access Representative

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. Assists 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, and scheduled order work queues.
• Utilizes a variety of information sources to schedule, reschedule, and cancel patient appointments. Information sources include online questionnaires, offline materials, and subgroup searches.
• Establishes working relationships with staff of assigned clinical departments. Understands and correctly applies unique clinical department scheduling protocols.
• 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. Key information includes referring physician information, insurance coverage, demographics, and contact information.
• Identifies and communicates 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's 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 diploma or GED, required. Associate's degree, preferred.
• Licensure, Certification & Registration: N/A
• Experience: 1-3 years related work experience. Experience with computer systems required, including web-based applications and Microsoft Office applications, which may include Outlook, Word, Excel, PowerPoint, or Access.
• Able to work successfully in a fast-paced, multi-task environment, where some independent decision making is necessary. Able to process electronic information and data accurately and efficiently.

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

$18.50 – $26.42