PATIENT ACCESS REP I

3 weeks ago

Sandusky OH USA, United States FTMC Full time
Caring For the Community You Love

Choose a career to make a difference in people's lives every day, choose Fisher-Titus

Perks of working at Fisher-Titus:

* Hours of Work- Full time
* Comprehensive Benefits Package- Medical & Dental coverage, 401K match, paid time off, tuition assistance and more
* Shift, Weekend & PRN differential

About Fisher-Titus:

Fisher-Titus proudly serves the greater Huron County area's 70,000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab, imaging, and physical rehabilitation.

Vision: Be the first choice for healthcare and employment within our community

Mission: Deliver compassionate and convenient care to the highest level of excellence that promotes lifelong health and wellness for our community

General Summary:

The Patient Access Representatives provides customer-service coverage for Fisher-Titus, and assume the responsibility for successful financial outcomes of all patient services. This position performs imperative duties, including but not limited to registration, insurance verification, telephone coverage, data entry, filing protected health information (PHI), patient referrals, and point-of-service collections, while maintaining patient relations, and customer satisfaction.

Essential Functions:

* Promptly fields and/or directs incoming calls, responds to patient and/or staff inquiries, and initiates patient triage slips, when necessary
* Ensures all registration and admission forms are ready for patients to complete upon arrival for service
* Practices proficient customer-service skills by greeting and treating all patients and staff with respect and discretion
* Gathers and verifies all appropriate, confidential health and financial information from patients while using various computer software to assure payment for all authorized services
* Enters new patient data and/or verifies patient records are up-to-date, confirms the completeness of the electronic medical record (EMR),makes changes as necessary, and files records in accordance with Fisher-Titus's filing system
* Complies with all organizational, state, and federal laws and registrations related to patient privacy and confidentiality, such as the Health Insurance Portability and Accountability Act (HIPPA)
* Verifies insurance eligibility and benefits within a timeframe determined by Fisher-Titus, and obtains pre-authorizations from third-party payers in accordance with payer requirements
* Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to the patient
* Identifies patients who will need Medicare Advance Beneficiary Notices (ABNs) of non-coverage and maintains accurate records of authorizations within the [EHR]
* Holds sufficient understanding of insurance protocols for referrals, co-payments, deductibles,
* Performs other clerical duties as assigned
* Demonstrates knowledge of safety policies and procedures by maintaining a safe environment
* Exhibits professionalism in appearance, speech, and conduct, and ensures that services are provided in accordance with state and federal regulations, as well as organizational standards
* Other duties as assigned.

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