PATIENT ACCESS REPRESENTATIVE

Essential Functions

• Answers telephone in a courteous and efficient manner.
• Receives referral requests from non-FPHC providers by telephone or fax and initiates the process per the Referral and Emergency Room Report Management policies and procedures.
• Checks NextGen Medical Information System for chart number, date of birth, age, address, telephone number, assigned FPHC center, date of last visit to FPHC, and insurance information.
• Contacts new patients from source lists such as Medicaid, HealthSprings, etc., to acquaint potential new patients with services offered by Franklin.
• Schedules appointments and makes referrals to medical social workers or case managers.
• Runs Medicaid strips to check current eligibility and assigned provider.
• Affixes compliance regulations for use of the Compassionate Care Program.
• Affixes assistance to patients in obtaining and completing the necessary forms for required services and serves as the central contact person for the process.
• Conducts reference checks and verifies patient information within various programs as instructed by the Social Worker.
• Receives continuous training to assume higher-level responsibilities as dictated by department and program needs.
• Records all activities in the appropriate log for monthly reporting.
• Participates in performance improvement activities and training initiatives as instructed.

Customer Satisfaction Requirements

Must provide the very best customer satisfaction to patients, visitors, and co-workers at all times in a professional and courteous manner.

Qualifications

• Education and Experience: High school graduate or GED equivalent with one or more years of clerical work experience with a medical entity, such as a hospital, clinic, or physician office. Graduate of an approved Medical Assistant, Allied Health Program, or an equivalent combination of experience, education, or training that provides the required level of knowledge, skills, and ability.
• Knowledge, Skills, and Abilities: Medical terminology and knowledge of program guidelines and procedures. Basic office skills such as data entry, filing, phone etiquette, and composition of simple business letters. Experience with software programs such as Word, Excel, and Medical Manager preferred. Effective verbal and written communication and human relations skills are required with internal and external customers in a friendly, cooperative manner. Must exhibit good team spirit, flexibility to undertake a variety of assignments, and the ability to organize time efficiently among a variety of duties.
• Other Qualifications: English as first language preferred. Bilingual/bicultural candidates will be considered.