Patient Access Representative
4 weeks ago
Job Title: Patient Access Representative
Department: Health Centers
Supervisor: Director, Revenue Cycle
FLSA Status: Full-time, Non-Exempt
The Patient Access Representative performs all receptionist and clerical duties at the front desk and also assists the medical professionals as needed in providing comprehensive services to patients. He/she is the first point of contact for patient visits, telephone inquiries, and problem resolution. The Patient Access Representative must demonstrate excellent customer service, accuracy, and reliability. He/she is responsible for arranging for efficient and accurate collection of information for orderly registration of pediatric, adult, and geriatric patients. The Patient Access Representative collects and distributes patient information, billing information, and collection information and provides financial estimates and collects applicable patient financial liability. The Patient Access Representative positively affects the patient’s experience and makes patients and families aware of hospital policies and procedures. The duties of this position require the exercise of courtesy in speaking with patients, families, and others to maintain sound community relations.
Areas of Responsibility
Front Office and Patient Interaction:
Greets visitors and callers with excellent customer service, while handling their inquiries, taking messages and referring them to the appropriate medical professional
Schedules patients’ appointments by phone and in person
Conducts appointment reminder calls patients 24 hours prior to appointment
Records telephone encounters in the Electronic Medical Records system
Performs detail insurance verification and eligibility check for upcoming appointments by obtaining the necessary information before the appointment
Assists patients with application for sliding fee scale and any other forms
Collects and records payments in the EMR system and maintains petty cash
Opens and distributes mail to the appropriate persons and prepares outgoing mail in a timely manner
Benefit Coordination:
Coordinates insurance benefits and consults patients on financial responsibility
Calls insurance companies to verify patients’ benefits, notifying patients
Updated December 2020
Input benefit information in the EMR system, as well as upload appropriate benefit information
into patient account
Consult patients of financial responsibility
Follow up on x-rays and Perio charts to billing company on behalf of the medical professionals
Ensure prior authorizations are on file prior to patients appointment to prevent a delay in
services
Skills and Responsibilities:
Associate Degree or Graduate of Accredited Program
Minimum of 2 years’ experience in a customer service environment, health center experience is
a plus
Customer service experience and demonstrated work experience with underserved populations.
Proficient in MS Office, electronic health information technology, and medical terminology
Ability to use a multiline phone system and take/route messages
Ability to perform outreach and related responsibilities as required to support the health center
operations with emphasis on geriatrics patients.
Ability to maintain confidentiality of all patient information verbal and written.
Responsible for proper handling of medical records in accordance with company policy and
HIPAA standards.
Must be able to operate standard office equipment such as fax/copier/scanner, digital postage,
computers, label maker, computer system
Follow policy on Medical Record Release and sends records to requesting party.
Exceptional language skills, written and verbal communication skills are required to do this work
effectively.
Highly skilled in reasoning and working with the public to secure positive outcomes required.
Ability to travel between practices as needed
Demonstrated time management and problem solving skills, showing quick adaptation in a
variety of situations
Must execute critical thinking, sound judgment, and cultural awareness skills
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