Patient Access Representative - Family Practice

Job Summary

Assists in coordinating the activities between scheduling, insurance verification and pre-certification. Acts as a clinical liaison with physician practices interacting with pre-visit services.

Details of the Position

• Pre-registers/registers patients with accurate patient demographic, financial data. May register patients using varying methods depending upon location, which may include mobile cart.
• Collects patient balances, co-payment, co-insurance, or other payment types.
• Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival.
• Responds to customer's inquiries.
• Assists with departmental coverage as needed.
• Manages daily appointment schedules which may include reminder calls and calling all referrals.
• May transport patients utilizing escort or wheeled transport equipment.
• Performs other duties as assigned.

What You Bring

• High School Diploma or equivalent (Preferred)
• Minimum of 1 year medical office or related customer service experience (Required)
• Experience with Microsoft Office applications, including Word, Excel and Outlook (Preferred)

Skills

• Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding (Preferred)
• Knowledge of insurance process and regulations (Preferred)
• Must be able to manage conflict effectively and professionally (Required)
• Excellent time management skills, with an emphasis on meeting time sensitive deadlines (Required)
• Good customer service skills and good interpersonal skills (Required)

Department / Location Specific Notes

Care Delivery and Outpatient Clinics: Strong background in customer service may be considered in lieu of medical office or related experience.

Working Conditions

• Consistently operates computer and other office equipment.
• Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
• Sedentary work.
• Predominantly operates in an office environment.
• Ability to communicate and exchange accurate information.
• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

Benefits

The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program.