Patient Access Representative

3 weeks ago

Norwalk, Ohio, United States Fisher-Titus Health Full time
About Fisher-Titus Health

Fisher-Titus Health proudly serves the greater Huron County area by providing a full continuum of health and wellness care. Our mission is to deliver compassionate and convenient care to the highest level of excellence that promotes lifelong health and wellness for our community.

Job Summary

The Patient Access Representative provides customer-service coverage for Fisher-Titus Health, ensuring successful financial outcomes for all patient services. This role performs essential duties, including registration, insurance verification, telephone coverage, data entry, and point-of-service collections, while maintaining patient relations and customer satisfaction.

Key Responsibilities
  • Promptly fields and/or directs incoming calls, responds to patient and/or staff inquiries, and initiates patient triage slips when necessary.
  • Ensures all registration and admission forms are ready for patients to complete upon arrival for service.
  • Practices proficient customer-service skills by greeting and treating all patients and staff with respect and discretion.
  • Gathers and verifies all appropriate, confidential health and financial information from patients while using various computer software to assure payment for all authorized services.
  • Enters new patient data and/or verifies patient records are up-to-date, confirms the completeness of the electronic medical record (EMR), makes changes as necessary, and files records in accordance with Fisher-Titus's filing system.
  • Complies with all organizational, state, and federal laws and registrations related to patient privacy and confidentiality, such as the Health Insurance Portability and Accountability Act (HIPPA).
  • Verifies insurance eligibility and benefits within a timeframe determined by Fisher-Titus, and obtains pre-authorizations from third-party payers in accordance with payer requirements.
  • Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to the patient.
  • Identifies patients who will need Medicare Advance Beneficiary Notices (ABNs) of non-coverage and maintains accurate records of authorizations within the EMR.
  • Holds sufficient understanding of insurance protocols for referrals, co-payments, deductibles, and other related services.
Requirements
  • Demonstrates knowledge of safety policies and procedures by maintaining a safe environment.
  • Exhibits professionalism in appearance, speech, and conduct, and ensures that services are provided in accordance with state and federal regulations, as well as organizational standards.

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