Patient Accounts Representative
4 weeks ago
Department
Patient Accounting
FTE (Full Time Equivalent)
80 Hours per pay period
Hours
Monday thru Friday: 8:00am to 4:30pm
Position Objective
The Patient Accounts Representative - Referrals is responsible for all aspects of the referral process related to the workflow of the department which includes the coordination of provider referrals both internally and externally. The position is responsible for ensuring payers and patients are prepared to reimburse Alomere Health and all departments for scheduled services in accordance with payer-provider contracts.
Essential Responsibilities
- Receive and document referrals, schedule care, and send confirmation of scheduled services back to the referring provider as well as the patient
- Work with the Business Office on patients’ insurance and benefits information, and contact patients to obtain more information as needed
- Send referrals to specialists for further care, and gather and send pertinent medical information
- Apply understanding of payer networks to support physician referral decisions that coincide with patient coverage as well as the treatment plan
- Enter all referral information accurately into appropriate systems daily in order to facilitate an intact, complete medical record
- Alert the clinicians involved in the patient’s care when there are issues with referrals or complications with insurance coverage
- Inform the patient whether the referral has been approved and review the next steps of care with them
Other Responsibilities
- Perform all other related duties as assigned in a professional and responsive manner
- Demonstrate the ability to use relevant equipment
- Support, understand, and promote Alomere Health’s mission, vision, values, policies and procedures
- Ability to meet the work schedule requirements with flexibility dependent upon the needs of the department
- Foster respectful working relationships with professional colleagues, patients, families, and general public regardless of age, gender, lifestyle, culture, beliefs, race, socioeconomic class, or ability
Required Qualifications
- High school diploma or equivalent
Preferred Qualifications
Knowledge, Skills and Abilities
- Exceptional communication skills, both written and verbal
- Excellent customer services skills
- Proficient in data entry and working with computers
- Knowledge of electronic health record (EHR)
- Strong critical thinking and problem solving skills
- Strong attention to detail and ability to multitask
Union Position
No
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