Front End Patient Access Representative

4 weeks ago


Lewisville, United States Medix Full time

**Please Note: At least 1 year of recent patient access experience is required to qualify for this position. Candidates without this experience will not be considered. **Start Date: 09/03/2024 Duration: Contract-to-hire opportunity. 1040 total hours, with an opportunity for conversion to permanent after completing 1040 hours worked from the start date if meeting attendance and performance expectations. Location: 100% Remote Schedule: Regular Hours: Monday-Friday, 40-hour work week, 8-hour days. Training Period: Monday-Friday, Central Time (CT) 8am-4:30pm. Post-Training Schedule: Dependent on assigned region/facility. Compliance Requirements: Background check Education Verification (high school diploma/GED required) Drug Screening (9-panel, including THC) HIPAA training Pay Rate: $16-21/hour, depending on experience. Official Job Responsibilities and Duties Patient Information Management: Review mom and baby hospital face sheets to confirm and update medical record numbers and patient identity for EMR submission. Pull patient face sheets from hospital systems, compare information with face sheets, and enter data into the patient billing system (demographics, medical records numbers, insurance information). Insurance Verification: Perform insurance verification, correct discrepancies, and add referring providers using GMPS. Validate CPT codes from providers by emailing physicians for verification. Communication and Documentation: Compose emails to providers to confirm information on medical records and validate missing CPT codes. Notify patients, guarantors, family members, physicians, and/or supervisors of insurance coverage issues, documenting all information in the computer system. Maintain positive customer service and refer unresolved issues to the appropriate supervisor. Reconciliation and Compliance: Complete daily and weekly hospital admission reconciliations. Initiate medical record requests with the coding department. Verify required signatures on legal consents and insurance forms, and add/edit insurance information. Confirm insurance coverage and benefits using real-time eligibility software, mapping insurances to the correct plan codes. Enter/edit data in the computer and thoroughly document any incomplete admissions/registrations as prescribed. Review Physician's orders (Service date, CPT/DX codes) for unbilled encounters, ensuring all required information is listed. Demonstrate knowledge of all Federal, State, and Local laws pertaining to insurance rules and regulations. Comply with all safety regulations, policies, and procedures as defined by the customer. Day-to-Day Responsibilities (Summary) Log into hospital systems to pull patient face sheets and compare patient information before entry into the billing system. Work heavily in GMPS for insurance verification, correcting discrepancies, and adding referring providers. Validate CPT codes from providers and verify codes by emailing physicians. Compose emails to providers to confirm information on medical records and validate missing CPT codes. Complete daily reconciliation (census for hospitals). Initiate medical record requests with the coding department. Obtain insurance plan codes from payer portals if RTE is not provided. Job Requirements Experience: At least 1 year of recent patient access experience. Technical Skills: Tech-savvy with a strong ability to navigate computers and learn software. Work Environment: Quiet, dedicated, distraction-free home workspace that is HIPAA compliant. Insurance Knowledge: Understanding of insurance payers (HMO, PPO, verification of eligibility). Multi-tasking: Experience working in at least five systems on a day-to-day basis. Remote Work: Previous experience working remotely is highly preferred. Required Compliance (if hired) Background check Drug screening (9-panel, including THC) Education Verification (high school diploma or equivalent required) HIPAA training



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