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Patient Access Representative
2 months ago
We are seeking a highly skilled Patient Access Representative to join our team at Presbyterian Healthcare Services. As a Patient Access Representative, you will play a critical role in ensuring the smooth registration process for patients and their families.
Key Responsibilities- Provide exceptional patient experience by using CARES, AIDET, and EPE tools to address patient concerns and resolve issues in a timely and professional manner.
- Manage conflict and escalate issues to supervisors as needed, utilizing de-escalation processes to maintain a positive patient experience.
- Implement PROMISE and CARES behaviors in every encounter to ensure a high level of customer satisfaction.
- Educate patients on insurance benefits and liabilities, ensuring accurate completion of MSPQ forms.
- Verify insurance eligibility and benefits using online electronic verification systems or by contacting payers directly.
- Accurately document actions taken in the system of record to drive effective follow-up and ensure an accurate audit trail.
- Maintain ongoing knowledge of authorization requirements and payer guidelines, including Medicare (CMS) guidelines.
- High school diploma or equivalent required.
- 6 months of experience in a healthcare setting or 1 year of customer service experience.
- Pass the Patient Access Academy with a score of 85% or higher within 6 months of start date.
- CHAA, CHAM, or other industry equivalent certification preferred.
- Basic understanding of insurance and medical terminology preferred.
As a Presbyterian Healthcare Services employee, you will receive a comprehensive benefits package, including medical, dental, vision, short-term and long-term disability, group term life insurance, and other optional voluntary benefits.
Our Employee Wellness rewards program is designed to promote your health and well-being, offering gift cards and other incentives for participating in wellness activities.
