Patient Access Representative Senior

About the role

Responsible for front line support to the department. Coordinates and performs front line office activities in an effective and efficient manner for the department. Greets and registers incoming patients, supports the patient check out process and schedules future appointments as applicable. Mentors team members as a senior member of the access team.

Responsibilities

• Responsible for checking patients in for appointments and accurately verifying demographics
• Assures all check-in procedures are completed and monitors patient wait times, communicating changes to the patient as necessary
• Reads and interprets insurance responses
• Understands general guidelines and insurance rank requirement to properly assign primary, secondary, and tertiary insurance per encounter
• Ensures patient receives necessary disclosure and privacy information, obtains necessary legal and financial signatures
• Communicates financial obligations to patients and collects fees at time of service as appropriate
• Communicates the purpose of and completes all necessary regulatory forms with patient
• Completes patient's visit by scheduling any necessary follow up appointments to include any specialty or ancillary services as possible
• Processes multi-channel messages related to patient and/or physician requests regarding: appointments, referrals, prescriptions, and complaints
• Notifies patient or guarantor of anticipated financial responsibility including copays, deductibles, or coinsurances and collects accordingly
• Performs cash posting following department guidelines
• Abides by organizational and HIPAA guidelines, privacy practices, patient confidentiality and patient rights
• Accurately performs medical record maintenance and releases
• Assists with referrals and pre-certifications, at the time of encounter
• Properly utilizes and maintains patient recall and reschedule lists
• Attends regular developmental training and communicates regular updates to the clerical team
• Assists in training peers, utilizing established guidelines

Schedule

• Rotation shift work: M-F with weekend & Holiday rotations, rotating 1st, 2nd, 3rd shifts

Requirements

• High School Diploma or Equivalent (GED)
• Minimum of 2 years related work experience

Qualifications

If a suitably experienced candidate cannot be found, applicants who meet the basic qualifications but possess fewer years of experience will be considered for hire at a lower level.

Pay

Salary would commensurate with experience.

Benefits

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. From senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger.