Patient Access Representative
4 weeks ago
Job Description Summary: We are looking for a Patient Access Representative to work out of our Shelby Clinic This role will work out of our Shelby, MT clinic and occasionally help out at our other Shelby facilities. This position is responsible for completing patient registration duties and providing administrative support for assigned area(s). Collects and validates accurate patient demographic and insurance information, verifies authorizations and referrals as required and data enters necessary information into registration system. Informs the patient of estimated liability at the time of service, collects patient liabilities, identifies patients in need of financial assistance and refers patients to financial counseling as necessary. Qualifications: + Related coursework beyond high school or experience in a complex administrative support position required. Previous work experience in registration, financial clearance or patient financial services with strong working knowledge of healthcare insurance and benefit programs preferred. Associate's or Bachelor's degree preferred. + Minimum of one (1) year experience in a customer service focus position required. + Possess knowledge and understanding of medical terminology and medical coding preferred. + Patient Access (scheduling, registration, financial clearance), insurance verification, billing or certified medical assistant experience preferred. + Possess and maintain computer skills to include working knowledge of Microsoft Office Suite and ability to learn other software as needed. + Excellent organizational skills, detail-oriented, a self-starter, possess critical thinking skills and be able to set priorities and function as part of a team as well as independently. + Commitment to working in a team environment and maintaining confidentiality as needed. + Excellent verbal and written communication skills including the ability to communicate effectively with various audiences. + Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy. Job Specific Duties: + Prioritizes and completes registrations in the order of the patients' acuity level as determined by the clinical staff and department protocol. + Interviews patient or family member to gather demographic, insurance and/or visit specific information, and verifies data received from previous visits or pre-registration. Ensures accurate collection and inputs critical data elements. + Launches insurance verification software to verify insurance eligibility and benefits. Calculates and communicates out of pocket liability as appropriate. + Collects and processes payment for current service and any previous balances consistent with the cash management and posting policies. + Identifies and refers self-pay patients to financial counseling per department procedure. + Maintains knowledge of: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral, and a list of current accepted insurance plans. + Proactively communicates issues involving customer service and process improvement opportunities to leadership. + Meets productivity, quality requirements, and takes ownership of work to ensure excellent service is provided. + Develops and maintains knowledge and skills to identify insurance plans correctly in systems and understands contract requirements to ensure accurate insurance information. + Provides administrative services to support effective and efficient operations to assigned area(s). The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position. Maintains regular and consistent attendance as scheduled by department leadership. Logan Health takes great pride in offering its employees a comprehensive benefits package that promotes wellness and work-life balance. This includes: + Health, Dental, and Vison insurance + 401(k) with generous matching + Employer-provided life insurance + Voluntary life and disability insurance options + Critical Illness and Voluntary Accident options + Employee assistance program (EAP) + Paid time off, Holiday pay, and Illness bank + Employee referral program + Tuition reimbursement program Shift: Day Shift - Variable Hours (United States of America) Schedule Details: Please know schedules and shifts are subject to change based on patient care and department/organizational needs. Schedule: Logan Health operates 24 hours per day, seven days per week. Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Notice of Pre-Employment Screening Requirements If you receive a job offer, please note all offers are contingent upon passing a pre-employment screening, which includes: + Criminal background check + Reference checks + Drug Screening + Health and Immunizations Screening + Physical Demand Review/Screening Equal Opportunity Employer Logan Health is an Equal Opportunity Employer (EOE/AA/M-F/Vet/Disability). We encourage all qualified individuals to apply for employment. We do not discriminate against any applicant or employee based on protected veteran status, race, color, gender, sexual orientation, religion, national origin, age, disability or any other basis protected by applicable law. If you require accommodation to complete the application, testing or interview process, please notify Human Resources. Our people are everything. The amazing providers, employees, and volunteers at Logan Health gift this organization with their innovation, knowledge, and compassion. Together, we're connecting our community to trusted, quality care and helping to improve lives every day. Do you dream of living and working in a beautiful area surrounded by stunning scenery and endless recreation? Are you ready to evolve your career while working alongside passionate, talented, brilliant people? Join our remarkable team and create positive patient experiences every day
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