Patient Access Representative

Responsibilities

• Accurately and thoroughly collects, analyzes and records demographic, insurance/financial and clinical data in computer system.
• Ensures information source is appropriate. Updates and edits information in computer, ensuring that all fields are populated correctly and appropriately.
• Completes eligibility check and obtains benefits through electronic means or via phone contact with insurance carriers or other agencies.
• Contacts patients/families/physicians to obtain additional demographic/insurance information and update in computer system if needed in order to proceed with verification process.
• Interpret physicians’ hand-carried orders to determine service needs and scans physician orders or verifies that complete and valid orders are on file for each patient.
• Obtains information and completes MSPQ and other payer-specific documents.
• Reviews and explains all registration forms prior to obtaining signatures from patient or appropriate patient representative.
• Explain benefits and request copay, deductible and coinsurance as applicable after developing an estimate applying allowable (based on payer).

Qualifications

• Education: High School Diploma or equivalent required.
• Experience: Two (2) years of customer service OR healthcare related experience preferred.
• Licenses/Certifications: None