Patient Access Representative

2 days ago

Richmond, United States VCU Health Full time

**$1,000 Sign On Bonus for offers accepted by December 31, 2024. Terms and Conditions apply**The Patient Access Representative provides quality customer service to patients of all ages, their families, visitors, medical staff, clinicians and co-workers, ensuring that everyone will be treated courteously, quickly and with respect. This position establishes and maintains an environmental control plan, coordinates materials management for the department, assists in monitoring clinic activities and provides supervision of clerical activities. The Patient Access Representative handle all business functions in an assigned area to include reception, scheduling and registering patients for appointments and/or procedures. This position also secures the appropriate patient information; ensures that registration data is correct and accurate; validates insurance eligibility, enters information into appropriate systems and collects co-pay (if applicable), and assists with financial counseling and financial clearance, as necessary.Licensure, Certification, or Registration Requirements for Hire: N/ALicensure, Certification, or Registration Requirements for continued employment: N/AExperience REQUIRED:Previous experience with computers, Microsoft Office software and navigating the InternetPrevious experience keyboarding with the ability to type 40 words per minuteExperience PREFERRED:Work experience with medical insurance, HMO, managed care, electronic medical billing/order entry/registration systems, and appointment schedulingPrevious work experience in a healthcare setting and knowledge of medical terminologyEducation/training REQUIRED:High school graduate or GEDEducation/training PREFERRED:Associates or Bachelor's Degree in Accounting, Finance, Business Administration, Healthcare Administration or closely related field from an accredited programIndependent action(s) required:Able to perform daily activities with minimal supervision: being self directed in the accomplishment of routine activities.Issues that involve violation of VCUHS policy or procedure that involve conflicts of a sensitive nature, or that would be considered unusual in nature are to be brought to the attention of the clinical coordinator or designee promptly as would be warranted by the immediacy of the issue.Performs daily activities with minimal supervision.Notifies supervisor of issues involving violation of VCUHS policies or procedures.Functions in a self-directed manner to accomplishments of routine activitiesSupervisory responsibilities (if applicable): N/AAdditional position requirements:Depending on assignment, may be required to work off-shifts and/or weekend and holidays.Incumbents may be considered essential depending on departmental assignment.Age Specific groups served: AllPhysical Requirements (includes use of assistance devices as appropriate):Physical: Lifting less than 20 lbs. Lifting 50-100 lbs.Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive)Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinkingEmotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent, changeFront desk coverage during clinic hours-Monday-Thursday 7am-5:45pmFriday 7:15am-4pmExpectations for Therapy PARs:Check-in:Documents for Initial Evaluations-Review of:Therapy attendance policyPatient QuestionnaireAwareness of patient diagnoses to determine appropriate patient reported outcome measureInsurance card/drivers licenseEnrolling patients in MychartPatients arriving >15 min late for appt-crosscheck with therapist whether patient can be seen (answer may be no-particularly for evaluations)Printing Zebra LabelsCheck-out:Scheduling of Follow-up appointmentsAdherence to therapy plan of careUse of waitlist when plan of care cannot be metPrinting patient appointment listScheduling Evaluations (via Workqueue, phone call, or walk up):Knowledge of therapy locations, specialties, and phone numbersKnowledge of patient diagnoses appropriate to the local clinicKnowledge of patient diagnoses appropriate for other Stony Point clinics (Pelvic Health, Lymphedema, Speech Therapy)-in case of patient questions, phone calls, or patients arriving at the wrong clinicKnowledge of therapy scheduling idiosyncrasies:Plan of Care/Frequency of visitsPrioritization of post-op patientsScheduling of walk-ups for Hand TherapySecurity clearance to override needed for 9000 PARKnowledge of insurances/payors and processesInsurances who do not participate with VCU HealthTricare PrimeWorker's compensationSelf paySelf pay following an insurance denialCoverage through alternative means (as seen recently with USAA)Workqueues-Scheduling from the WorkqueueForwarding orders to different therapy departments if diagnosis not appropriate for Stony PointAdding new patients to EpicTranscribing ordersIdentifying whether or not a referral is appropriate for the local clinicForwarding the order to a different therapy department if not appropriate for the local clinicKnowledge of the difference between Evaluation (1117) and Treatment (1118) visitsChanging appt type (when needed)Linking referralsPediatric patients wishing to attend therapy without a parent-consent formCancellations and No ShowsNo show policySecure chat and Inbasket messagesAuthorization:Awareness of authorization indicators in the DARCrosschecking DAR 3 days in advanceIncoming Faxes:Identifying referralsScanning in insurance/workers' comp related documents and notifying Authorization team and/or treating therapist of their presenceIdentifying requests for medical records and calling the requester to notify them that they need to contact Medical RecordsMERT:Printing FacesheetPrinting Medication listMiscellaneous:How to handle duplicate MRNsHow to handle incorrect patient informationWorkday Day (United States of America)EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.

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