Patient Access Services Representative

4 days ago


Tucson, Arizona, United States Tucson Medical Center Full time
Job Summary

We are seeking a highly skilled and detail-oriented Patient Access Services Representative to join our team at Tucson Medical Center. As a key member of our healthcare team, you will be responsible for ensuring seamless patient access to medical services, while providing exceptional customer service and administrative support.

Key Responsibilities
  • Assist medical care givers with patient management, tracking, and monitoring requirements.
  • Answer phones, pre-screen patients using appropriate triage skills, and schedule appointments.
  • Perform centralized scheduling, insurance verification, referral, billing, and payment posting responsibilities.
  • Collect deposits or deductibles and advise patients or guarantors of insurance benefits and anticipated cost estimates.
  • Ensure completion of financial documentation in accordance with Tucson Medical Center's credit and collection policies.
  • Interact with physicians and/or physicians' office staff to secure diagnosis, procedure details, or authorizations.
  • Use medical terminology and scheduling knowledge to select correct procedures and coordinate information with other departments.
  • Perform patient registration activities to ensure accurate financial and biographical data and documentation.
  • Complete insurance processing, including account creation, insurance verification, notification, and authorization functions.
  • Communicate with departments/physicians for special requests, emergent cases, overbooking, and add-ons.
  • Handle incoming telephone calls and exercise judgment in scheduling callers for correct procedures.
  • Document all notification, authorization, and eligibility information in registration systems.
  • Analyze patient accounts, determine non-collectable accounts, and recommend bad debt or charity write-offs.
  • Arrange payment methods or extensions of credit with patients or representatives.
  • Maintain current working knowledge of payer regulations, contractual agreements, computer updates, and new collection tools.
Requirements
  • High School diploma or General Education Degree (GED), completion of vocational medical office training desired, or an equivalent combination of relevant education and experience.
  • Preferred one (1) year of medical office and/or hospital experience to include healthcare eligibility and benefit analysis or scheduling experience for diagnostic testing and/or surgery.
  • Some positions may require certification as a Medical Assistant (CMA).
Preferred Qualifications
  • Knowledge of office management practices, including billing and scheduling within healthcare.
  • Knowledge of basic computer familiarity and experience and the ability to operate basic office equipment.
  • Knowledge of patient care protocols and practices.
  • Knowledge of general patient care practice, methods, and regulations.
  • Ability to read or listen and comprehend simple instructions, short correspondence, and memos.
  • Ability to write simple correspondence and effectively present information in one-on-one and small group situations.
  • Ability to interpret and explain insurance benefits and patient financial responsibility.
  • Ability to provide excellent customer service via phone and walk-ins.


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