PATIENT ACCESS REPRESENTATIVE
3 weeks ago
This position will be working at our front desk, checking in patients prior to surgery, collecting payments, calling day prior for surgery times, and back-up for scheduling and insurance verification.
Position Description:
* Balance out at the end of day and perform necessary End of Day process for the center.
* Pull patient charts for the next day's appointments by the end of the current day.
* File all charts by the end of the day.
* Open and distribute all incoming mail and packages in accordance with policies and
* Maintain a neat and orderly workspace and an adequate supply of charts, forms and tools to perform the job.
* Maintain strictest confidentially of all information related to medical records, communication between staff and the patient as well as any events surrounding the patients' treatment.
* Perform all other duties as assigned.
Primary Responsibilities:
* Ensure overall total customer satisfaction.
* Greet patients in a courteous and professional manner.
* Answer all incoming calls in a courteous and professional manner.
* Respond to the patients' needs or direct them to the appropriate person for assistance.
* Take detailed messages and confirm the appropriate people receive them.
* Obtain overall operational knowledge of the center in order to assist in the triage process.
* Have insurance knowledge, i.e., be aware that HMO patients need a referral for each visit and which insurances the center accepts.
* Ensure that patients' needs are handled in a timely and efficient manner.
* Ensure that benefit verification and pre-certification is completed for each scheduled
* Schedule patients into the billing system immediately upon receipt of the information from the surgeon offices.
* Prepare new chart including a copy of the insurance card(s), demographic information
sheet, any referrals and obtain any signatures on center required paper work.
* Established patients - verify demographic and insurance information at each visit.
* Have knowledge of CPT-4 and ICD-9 coding, as well as the changing Medicare and Medicaid regulations and guidelines.
* On the day of surgery, enter patient charges, payments and approved discounts into the billing system.
* Collect unmet deductibles, coinsurance, co-payments and outstanding past due patient balances on the day of surgery.
* Ensure that paperwork processing is confidential, efficient and timely.
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