Patient Access Representative - Pediatrics

Job Summary

Affords assistance in coordinating activities between scheduling, insurance verification, and pre-certification. Serves as a clinical liaison with physician practices, engaging in pre-visit services.

Pre-registers/Registers Patients

• Accurately collects patient demographic and financial data
• Verifies insurance coverage and ensures all requirements are met
• Obtains prior authorizations and referrals as necessary
• Manages daily appointment schedules, including making reminder calls and contacting referrals
• May transport patients using escort or wheeled transport equipment

Collects Patient Balances

• Collects patient balances, co-payments, co-insurance, or other payment types

Responds to Customer Inquiries

• Provides responses to customer inquiries
• Assists with departmental coverage as needed

Department / Location Specific Notes

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

Working Conditions

• Operates computer and other office equipment
• Exerts 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
• Primarily operates in an office environment
• Communicates and exchanges accurate information
• Close visual acuity required for tasks such as preparing and analyzing data and figures, transcribing, viewing a computer terminal, and extensive reading

What You Bring

• High School Diploma preferred or equivalent
• Minimum of 1 year of medical office or related customer service experience
• Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding (preferred)
• Knowledge of insurance process and regulations (preferred)
• Ability to manage conflict effectively and professionally (required)
• Excellent time management skills, emphasizing meeting time-sensitive deadlines (required)
• Good customer service skills and interpersonal skills (required)

Department / Location Specific Notes

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

Benefits

• Full medical/dental/vision coverage
• 403b retirement plan employer base and matching contributions
• Paid time off
• Employer-paid life and disability insurance with additional buyup coverage options
• Tuition and continuing education reimbursement
• Wellness benefits
• Expanded EAP and mental health program