Patient access representative Senior

2 months ago

Mountain Top, United States Geisinger Health System Full time
Location:
Geisinger Primary Care Mountain Top

Shift:
Days (United States of America)

Scheduled Weekly Hours:
40

Worker Type:
Regular

Exemption Status:
No

Job Summary:
Responsible for front line support to the department. Coordinates and performs front line office activities in an effective and efficient manner for the department. Greets and registers incoming patients, supports the patient check out process and schedules future appointments as applicable. Mentors team members as a senior member of the access team.

Job Duties:
  • Responsible for checking patients in for appointments and accurately verifying demographics.
  • Assures all check-in procedures are completed and monitors patient wait times, communicating changes to the patient as necessary.
  • Reads and interprets insurance responses.
  • Understands general guidelines and insurance rank requirement to properly assign primary, secondary, and tertiary insurance per encounter.
  • Communicates the purpose of all necessary disclosures, privacy information and all regulatory forms with the patient as well as obtains necessary legal and financial signatures.
  • Notifies patient or guarantor of anticipated financial responsibility including copays, deductibles, or coinsurances and collects accordingly.
  • Completes patient's visit by scheduling any necessary follow up appointments to include any specialty or ancillary services as possible.
  • Performs cash posting following department guidelines.
  • Abides by organizational, EMTALA and HIPAA guidelines, privacy practices, patient confidentiality, and patient rights.
  • Independently works work queues to ensure timely resolution of all accounts.
  • Must maintain high regard for confidentiality.
  • Processes multi-channel messages related to patient and/or physician requests regarding appointments, referrals, prescriptions, and complaints.
  • Accurately performs medical record maintenance and releases.
  • Assists with referrals and pre-certifications, at the time of encounter.
  • Properly utilizes and maintains patient recall and reschedule lists.
  • Maintain productivity and quality performance expectations
  • Attends regular developmental training and communicates regular updates to the clerical/Patient Access team.
  • Assists in training and mentoring all staff members, utilizing established guidelines.
  • As a senior member of the access team, is a role model for all staff members.
  • Cross trains to be able to function in multiple locations within facility.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

Position Details:

Education:
High School Diploma or Equivalent (GED)- (Required)

Experience:
Minimum of 2 years-Related work experience (Required)

Certification(s) and License(s):

Skills:
Clerical I, Office Politics And Confidentiality

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities.
  • KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.
  • EXCELLENCE: We treasure colleagues who humbly strive for excellence.
  • LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.
  • INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.
  • SAFETY: We provide a safe environment for our patients and members and the Geisinger family.


We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.

We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

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