Patient Access Representative

3 weeks ago


Hermitage, United States Williamson Health Full time
Job Title: Patient Access Representative

Located in Franklin, Tennessee, Williamson Health is a leading healthcare system that values exceptional patient care and innovative approaches to healthcare delivery. As a Patient Access Representative, you will play a vital role in ensuring seamless patient registration and insurance verification processes.

Key Responsibilities:
  • Verify patient insurance benefits and pre-certify surgical day care patients, observation patients, inpatients, and outpatient procedures to achieve maximum reimbursement in a timely manner.
  • Collaborate with other departments and referring physician offices to ensure accurate and efficient communication.
  • Interpret physician orders and understand radiology protocols to ensure accurate patient care.
  • Utilize Meditech, Fax, Copier, time and attendance system, patient access software, cash management/posting, AllScripts, FormsFast, Education system, Label and armband printers, hand-held communication equipment, and email to perform job duties.
Requirements:
  • High School diploma or equivalent.
  • At least three years of clerical experience in a professional customer service-oriented office environment.
  • At least one year of insurance verification/pre-certification experience required.
Performance Standards:
  1. Consistently stay up-to-date with payer requirements and billing regulations.
  2. Accurately complete insurance verification sheets and update patient information to ensure timely reimbursement.
  3. Use good customer service skills when contacting patients or physician offices.
  4. Review faxcert or AllScripts to obtain physician orders and clinical information.
  5. Obtain and verify prior authorizations and compare to physician orders to ensure accuracy.
  6. Communicate with stakeholders when issues delay treatment due to pre-certification or verification requirements.
  7. Document significant patient information to hospital departments and physician offices in a professional manner.

Williamson Health offers a comprehensive benefits program that includes medical, dental, vision, PTO, retirement matching, tuition reimbursement, discount programs, FSA, identity theft protection, and legal aid. We are an equal-opportunity employer and a drug-free workplace.



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