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Patient Access Representative

2 months ago

Hawkinsville, Georgia, United States Taylor Health Care Group Full time

Job Summary:

We are seeking a highly organized and detail-oriented Patient Access Representative to join our team at Taylor Health Care Group. As a Patient Access Representative, you will play a critical role in ensuring that patients receive timely and accurate pre-certification information for their inpatient, surgery, and radiology services.

Key Responsibilities:

  • Obtain pre-certification information from physician offices to ensure clean claims and minimize delays in patient care.
  • Verify patient eligibility, co-pay, and deductible information to ensure accurate billing and reimbursement.
  • Pre-register patients with all necessary information to facilitate a smooth registration process.
  • Notify patients prior to surgery or radiology services of any co-pays or deductible amounts to ensure they are aware of their financial obligations.
  • Discuss financial obligations or payment arrangements with patients prior to surgery or radiology services to ensure they understand their responsibilities.
  • Screen uninsured patients for Medicaid Presumptive Eligibility to identify potential sources of reimbursement.
  • Identify uninsured patients on the daily census and provide financial assistance options to ensure they receive necessary care.
  • Calculate reimbursement per payer contract to ensure accurate billing and reimbursement.
  • Perform additional job duties as assigned to support the Patient Access team.

Requirements:

  • High school diploma or GED required; Associate's degree preferred.
  • 1-2 years of hospital business office experience preferred.
  • Excellent telephone etiquette and customer service skills.
  • Experience with EMR/EHR systems and insurance payer requirements.
  • Strong attention to detail and ability to maintain confidentiality.
  • Professionalism and quality focus in all interactions with patients, physicians, and staff.