Patient Access Representative
3 days ago
Job Summary:
We are seeking a highly skilled Patient Access Representative to join our team at Vidant Health. As a Patient Access Representative, you will be responsible for performing patient registration, providing insurance benefits interpretation and counseling, and maintaining medical terminology skills and knowledge of third party payer regulations.
Responsibilities:
- Register patients and their representatives in a timely and efficient manner, obtaining demographic and insurance information for billing, compliance, and release of information.
- Interpret and explain various forms to meet privacy and regulatory requirements, obtaining the appropriate signatures on all required documents.
- Inform patients of clinic policies, such as filing of insurance, consent to treatment, and other regulatory requirements.
- Prepare electronic financial folders to include all information pertinent to billing, such as pre-certifications documents, benefits information, insurance card copies, and signed registration documents.
- Operate office machines, correct minor equipment failures, and contact vendors when necessary to fix major equipment failures.
- Review physician orders for coding and routing purposes.
- Provide insurance benefits interpretation and counseling based on the information provided, either via the electronic eligibility function or the manual process.
- Maintain medical terminology skills and knowledge of third party payer regulations.
- Maintain skill set through daily use of appropriate medical terminology and application of regulations, supported by updates posted in regulatory bulletins and insurance contracts.
- Monitor registrations for completeness and accuracy.
- Maintain and submit daily registration activity logs.
- Monitor forms for appropriate signatures and completeness.
- Greet patients in a professional manner to determine service needs and direct them to the appropriate service areas.
- Cross train to perform other duties within Patient Access Services.
- Maintain productivity reports.
- Participate in special projects.
- Coding and billing.
- Enter charges from coded encounter forms/charge sheets into A/R system in a timely manner.
Requirements:
- High School or equivalent (GED) or higher is required.
- Associate Degree: preferred.
- Bachelors Degree: preferred.
- 2 years Customer Service is required.
- 1 to 2 years of Registration and/or Billing experience within a healthcare setting is preferred.
- Excellent communication (both written and oral), detail orientation, organization, and multitasking skills are required.
- Basic computer skills.
Work Schedule:
Hours are full-time, Monday - Thursday 8am-5pm and Friday 8am-3pm.
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