PATIENT ACCESS SERVICES REPRESENTATIVE
4 weeks ago
Job CategoryClerical
ScheduleFull time
Shift1 - Day Shift
SUMMARY:
Assists medical care givers with patient management, tracking and monitoring requirements. Answers phones, pre-screens using appropriate triage skills, within allowable parameters calls in prescription re-fills, calls patients with test results and schedules patients for next appointments. Perform extensive centralized scheduling, insurance verification, referral, billing and payment posting responsibilities.
ESSENTIAL FUNCTIONS :
Exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff ; adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication.
Collects deposits or deductibles and advises patient or guarantor of insurance benefits and anticipated cost estimates; ensures that cash handling follows corporate policies.
Ensures completion of financial documentation in accordance with TMCH's credit and collection policies.
Explains all necessary compliance forms and obtains patient signature as required for regulatory agencies.
Performs medical necessity screening and ensures compliance with system requirements.
Interacts with physicians and/or physicians' office staff to secure diagnosis, procedure details or authorizations and information for denials as needed.
Uses medical terminology and scheduling knowledge to select correct procedure when scheduling and coordinates information with other departments as needed.
Demonstrates knowledge of resources, staffing, instrumentation, and equipment specific to procedures to avoid scheduling conflicts.
Performs patient registration activities to ensure accurate financial and biographical data and documentation have been obtained and properly entered into hospital records.
Completes insurance processing; including account creation, insurance verification, notification, and authorization functions, follow ups on denials and no response claims.
Communicates with departments/physicians for special requests, emergent cases, overbooking and add-ons; informs management about issues/problems with tools/times.
Handles incoming telephone calls and exercises judgment in scheduling caller for correct procedure in appropriate service area; receives telephone requests to schedule from patients, physicians, physician office staff, employers, and hospital personnel, if applicable.
Explains procedure preparations to patients so they are properly prepared before arriving at the hospital or clinics as needed.
Documents all notification, authorization and eligibility information in the registration systems, uses electronic verification tools and web-based resources.
Analyzes patient accounts, determines non-collectable accounts, and recommends bad debt or charity write-offs when applicable; analyzes and processes contractual write-offs.
Arranges payment methods or extensions of credit with patients or representatives; evaluates accounts and determines payment dates based on patient's ability to pay and hospital policies; explains charges, services, and hospital policy regarding payment of bills.
Arranges account collections and contacts carriers to follow-up on balances due.
Maintains current working knowledge of payer regulations, contractual agreements, computer updates, and new collection tools including understanding of the Fair Debt Collection Practice Act.
Provides information about external financial assistance, including recommending third parties.
May serve as a Medical Assistant when holds a Medical Assistant Certification
Processes Accounts Payable transactions such as: checks and posts payments to accounts receivable and verifies account balances; prepares, reconciles, balances, and batches daily deposits and prepares receipts for deposits; verifies totals on reports and forms as required. Reviews accounts with unusual balances after posting payments and adjustments. Researches and transfers monies between logs, as needed.
Adheres to TMCH organizational and department-specific safety, confidentiality, values policies and standards.
Performs related duties as assigned.
MINIMUM QUALIFICATIONS
EDUCATION: High School diploma or General Education Degree (GED), completion of vocational medical office training desired, or an equivalent combination of relevant education and experience.
EXPERIENCE : Preferred one (1) year of medical office and/or hospital experience to include healthcare eligibility and benefit analysis or scheduling experience for diagnostic testing and/or surgery.
LICENSURE OR CERTIFICATION : Some positions may require certification as a Medical Assistant (CMA).
KNOWLEDGE, SKILLS AND ABILITIES :
* Knowledge of office management practices, including billing and scheduling within healthcare.
* Knowledge of basic computer familiarity and experience and the a bility to operate basic office equipment.
* Knowledge of patient care protocols and practices.
* Knowledge of general patient care practice, methods and regulations.
* Skill in evaluating patient's needs or following up with a care-giver and then providing follow up support to patients.
* Skill in scheduling appointments and referrals.
* Ability to read or listen and comprehend simple instructions, short correspondence, and memos.
* Ability to write simple correspondence; ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
* Ability to read and interpret documents such as safety rules, procedure manuals, and governmental regulations.
* Ability to effectively present information and respond to inquiries or complaints from patients and/or their representatives and the general public.
* Ability to interpret and explain insurance benefits and patient financial responsibility.
* Ability to provide excellent customer service via phone and walk-ins.
* Ability to apply common sense understanding to carry out simple/detailed written or oral instructions.
* Applicants must have basic computer familiarity and experience and the a bility to operate basic office equipment.
Application Instructions
Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you
-
Patient Access Representative, Full Time, Day
4 weeks ago
Long Branch, NJ, United States Monmouth Medical Center Full timeJob Overview:The Patient Access Representative position plays a key role in the health system and in providing excellent customer service while ensuring timely throughput and capturing all necessary data timely. The Patient Access Representative is responsible to greet all patients in a timely and friendly manner. A core function of this position is to...
-
Bilingual Patient Service Representative
1 week ago
Phoenix, AZ, United States Centauri Health Solutions Full timeCentauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics,...
-
Patient Business Services Representative
3 days ago
Kailua-Kona, HI, United States Navient Full timeXtend Healthcare is a revenue cycle management company focused exclusively on the healthcare industry. The company's services range from full revenue cycle outsourcing, A/R legacy cleanup and extended business office to coding and consulting engagements. As part of Navient (Nasdaq: NAVI), Xtend taps the strength and scale of a large-scale business...
-
Patient Access Specialist
1 week ago
Brooklyn Park, MN, United States SPR Therapeutics Inc Full timeDescription:The Patient Access Specialist is responsible for various functions in support of patient access to the SPRINT PNS System including but not limited to collaborating with payers, providers, patients, field sales representatives and other functional areas within the company. Through our SPRcare Patient Access Program, the Patient Access Specialist...
-
Patient Access Specialist
2 weeks ago
Brooklyn Park, MN, United States SPR Therapeutics Inc Full timeDescription:The Patient Access Specialist is responsible for various functions in support of patient access to the SPRINT PNS System including but not limited to collaborating with payers, providers, patients, field sales representatives and other functional areas within the company. Through our SPRcare Patient Access Program, the Patient Access Specialist...
-
Patient Services Representative
2 weeks ago
Dayton, OH, United States ADVENT Full timeEnvision a place where you thrive. Envision an organization that believes in you as much as you believe in them. A place where your work has meaning. At ADVENT, you can have just that.ADVENT embraces those who seek more and demand excellence from themselves and their employer. We invite you to be challenged, to challenge, and to embark on a journey where...
-
Patient Access Rep
2 weeks ago
Newport News, VA, United States Sentara Healthcare Full timeCity/State Newport News, VA Overview Work Shift Second (Evenings) (United States of America) Sentara Port Warwick is hiring a Patient Access Representative - Flexi status, approximately eight hours per week in the evenings Required: HS Diploma or equivalent Required: Customer Service or Data Entry experience - 2 years As a Patient Access Rep with...
-
Patient Care Manager RN
1 week ago
Trumbull, CT, United States Patient Care Full timeWe are hiring for a Patient Care Manager with Home Health experience. At Patient Care, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. You can find a...
-
PRN Patient Service Representative
2 weeks ago
Longmont, CO, United States Health Images Full timeHealth Images is looking to add a PRN Patient Service Representative to our team!This is an as-needed (PRN) position, no set schedule | Position Pay Range $17.73 - $19.90Locations include Women's Imaging Longmont, Health Images Longmont, and Women's Imaging at BoulderSummary/Objective:The Patient Service Representative (PSR) focuses on the delivery of...
-
PRN Patient Service Representative
2 weeks ago
Thornton, CO, United States Health Images Full timeHealth Images is looking to add a PRN Patient Service Representative to our team!This is an as-needed (PRN) position, no set schedule| Position Pay Range $17.73 - $19.90 | Supporting Northern Colorado LocationsSummary/Objective:The Patient Service Representative (PSR) focuses on the delivery of patient care and facilitates the needs of the physician. Focuses...
-
Bilingual Patient Service Representative
1 week ago
Albuquerque, NM, United States Centauri Health Solutions Full timeCentauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics,...
-
Vascular Access Nurse
2 weeks ago
Seattle, WA, United States Dynamic Access LLC Full timeDynamic Access is seeking highly skilled and dedicated individuals to join our team as Vascular Access RN (PICC Nurses) located in the Seattle, Washington area. This is a full-time position working three 12-hour night shifts Noon to 2am.If you are a Critical Care Nurse with ultrasound experience or a Vascular Access Nurse, please keep reading . . .As a...
-
PATIENT ACCESS ANALYST
2 months ago
Camden, NJ, United States Cooper University Health Care Full timeAbout us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to its employees by providing...
-
Vascular Access RN
2 weeks ago
Seattle, WA, United States Dynamic Access LLC Full timeDynamic Access is seeking highly skilled and dedicated individuals to join our team as Vascular Access RN (PICC Nurses) to service St. Anne Hospital in Seattle, Washington. This is a full-time position working Monday to Friday 8am to 4pm.As a Dynamic Access Vascular Access Specialist RN, you will have the exceptional opportunity to work in a non-conventional...
-
Client Service Representative
4 days ago
Lakeside, AZ, United States Aspen Ridge Animal Hospital Full timeAbout Aspen Ridge Animal Hospital We value the relationship, continued trust, and goodwill we establish with our clients. Our top priorities are courtesy, respect, patience, education, and understanding with clients and their pets. We treat our patients as if they were our pets and offer clients the superior service that they desire and...
-
Client Service Representative
3 days ago
Chandler, AZ, United States Alera Group Full timeBenefit Commerce Group, an Alera Group company, is seeking multiple personable and talented Client Service Representatives for new hybrid employee benefits opportunities based out of their Chandler, AZ office location! Are you looking to be part of a company where you have exciting opportunities to learn, grow and make a positive impact? Join a team...
-
Digital Services Support Representative
1 week ago
Phoenix, AZ, United States KETER ENVIRONMENTAL SERVICES LLC Full timeThe primary responsibilities of the Customer Service Representative I include scheduling permanent and temporary service for commercial customers, researching and resolving service problems, and coordinating schedules with vendors. Other duties may include assisting with special projects, resolution of billing discrepancies with vendors, and other tasks as...
-
Patient Care Manager RN
3 weeks ago
Fort Smith, AR, United States Access Home Health Full timeWe are hiring for an RN Patient Care Manager. At Access Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their families, each other, and the communities we serve—it truly is all about helping people. We strive to offer benefits...
-
Vascular Access RN
2 weeks ago
Brooklyn, NY, United States Dynamic Access LLC Full timeDynamic Access is excited to announce we are currently hiring a dynamic Vascular Access Nurse (PICC RN)!LOCATION: New York, New York (Brooklyn and Queens area)SHIFT: PRN or part-timeSalary: Paid-per-procedure (approx $42/hr)Dynamic Access provides a complete 24/7 vascular access service to all types of healthcare facilities at a lower cost per procedure....
-
Patient Eligibility Representative
1 week ago
Greeley, CO, United States Centauri Health Solutions Full timeCentauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics,...