Patient Access Representative - Premier Primary Care

About the role

This position is responsible for performing all registration, scheduling, order entry, and reception functions within the health system. This role also involves floating to various admitting sites.

Responsibilities

• Expedites and provides healthcare access through the accurate gathering of demographic, sponsorship, or guardian data, insurance, clinical, financial, and statistical information from various sources.
• Ensures reimbursement for services rendered through verification of insurance eligibility/benefits, obtaining insurance authorization within required time frames, identifying and collecting patient financial obligations, and accurate charge order entry.
• Serves the patient and family in a manner that makes the admission process as comfortable and pleasant as possible.
• Acquires and accurately enters demographic, clinical, and financial information into the computer system.
• Explains and obtains signatures on admission, clinical, and financial forms.
• Collects accident information.
• Identifies all insurance payer sources and payer order sequence.
• Verifies insurance eligibility and obtains insurance notifications.
• Identifies and collects patient financial obligation amounts, such as co-payments, co-insurance, deductibles, etc.
• Documents all information collected in a timely manner and in accordance with department requirements.
• Explores the financial need of the patient and, when appropriate, refers the customer to the appropriate federal, state, or county assistance agencies.
• Schedules, orders entries, and performs reception functions.
• Assists in completing departmental tasks.
• Solves problems following established company guidelines.
• Deals with the unexpected, establishes priorities, investigates, and adjusts performance style when necessary.
• Ensures all matters related to patient information are kept secure, meeting confidentiality compliance standards set by The Joint Commission and HIPAA.
• Identifies the patient's financial obligation, such as deductibles, co-payments, co-insurance, etc., and follows standard operating procedures regarding point-of-service collections.
• Performs order entry.
• Uses above-average computer application skills.
• Fulfills verbal and written instructions.
• Adapts to a flexible schedule and interacts with heavy physician/physician office staff interaction.
• Prioritizes and multitasks in a fast-paced environment.

Requirements

• High School Diploma or GED preferred.
• Requires six months of admitting, medical claims processing, professional office experience and/or customer service experience with financial interaction. One year preferred.
• Experience with Windows Operating systems, SMS InVision, Internet, and SMS IMS Document Imaging is preferred.
• Must possess or be able to obtain within 90 days the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.