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Lead Patient Access Coordinator

2 months ago


Arlington, Virginia, United States Med-Metrix Full time
Job Overview

Position Summary

The Senior Patient Access Representative is responsible for welcoming, scheduling, and registering patients with professionalism and warmth.

Key Responsibilities

  • Manage and direct incoming calls and messages
  • Facilitate insurance verifications and pre-authorization processes
  • Organize medical records and prepare necessary documentation
  • Collaborate effectively with insurance providers to secure pre-certifications and authorizations for services
  • Interpret and communicate relevant clinical information to insurance representatives
  • Submit pre-certification requests to insurance companies
  • Safeguard confidential information while maintaining accurate filing systems and data entry
  • Verify patient insurance details and document them in scheduling and registration systems
  • Input and update patient information and other relevant data into the electronic system
  • Conduct patient intake processes, including insurance verification and demographic confirmation
  • Track account progress, including updating authorization logs and managing referral documentation
  • Exhibit knowledge of various managed care insurance policies and regulatory standards
  • Oversee the waiting area and communicate patient readiness to clinical staff
  • Provide support to physicians, department managers, and clinical personnel as needed
  • Demonstrate effective communication skills, both written and verbal
  • Perform additional duties as required
  • Ensure compliance with HIPAA standards regarding patient health information

Qualifications

  • High School Diploma or equivalent is required
  • Preferred: College degree
  • Minimum of 1 year of office or clerical experience in a healthcare setting
  • Exceptional customer service abilities, including negotiation and problem-solving skills
  • Clear and organized communication skills, both oral and written
  • Strong attention to detail
  • Ability to manage deadlines amid frequent interruptions

Work Environment

  • Physical Requirements: The role may require occasional movement within the office, sitting for extended periods, and performing light lifting (up to 15 pounds).
  • Mental Requirements: The employee must be capable of following instructions, collaborating with team members, and managing stress effectively.
  • Office Setting: The position is based in a well-lit and ventilated office environment, subject to frequent interruptions. Minimal exposure to infectious diseases and hazardous materials is expected.

Med-Metrix is committed to maintaining a diverse and inclusive workplace, and does not discriminate against any employee or applicant based on protected characteristics.