Patient Access Representative

Description :

Note to Suppliers : Each supplier may submit up to candidate. Please ensure you present only your TOP candidates—do not submit just to meet the quota.

MEDICAL ENTERPRICE

Job Title : Patient Access Representative

Number of Needs :

Reason for Need : Increase in workload

Duration of Assignment? weeks, yes to a possible extension, no guarantees

Is there a chance to extend? Yes

Target Start Date : / / or ASAP

Ability to work remote? No

Work Location / Address : San Pablo Street Los Angeles CA,

Department : Keck Medicine of USC : Ambulatory Clinic - Ophthalmology Operations

Parking / Cost : Employee will need to purchase a parking pass or street parking

Working Days / Hours : AM – PM Monday – Friday. per week and per day

Dress Code : Business Casual

Interview type- In person / video? Teams / Video

Must Haves :

• High school diploma or equivalent education
• Front office experience in a medical setting
• Reliable and consistently available for all assigned shifts
• Clean and professional appearance
• Excellent verbal and written communication skills with proficiency in English
• Strong phone etiquette and ability to build rapport with patients and staff
• Proficient computer skills and familiarity with medical terminology
• Thorough understanding of insurance types, including HMO, PPO, and government health programs

Job Description : Provide front office support for ophthalmology multispecialty group practice including greeting patients, performing patient check-in / out processes, assuring patients are appropriately registered and insurance information is accurate. Uphold smooth patient flow throughout the front office experience to ensure efficiency and effectiveness. Demonstrate exemplary customer service. Act as a liaison between the front office and communications' center.

In addition, provide administrative support including collecting patient payments, performing insurance verification, scheduling patient follow-up appointments and / or ancillary testing, obtaining records / authorizations, and creating encounter(s) in patient registration system(s).

Daily interactions with staff, supervisor, and doctors, as well as periodic meetings with senior operations manager. Incumbent is expected to work with minimal supervision; periodic and regular progress checks are performed to evaluate and adjust workload accordingly.

Acts as a patient navigator by assisting the patient with insurance related issues and assuring a patient has coverage and authorization to be seen for care. Obtains authorizations, calls for benefits, opens cases with insurance companies, counsels patients on obtaining % active coverage and establishes / maintains active relationships with medical groups and insurance companies. Reviews health insurance plans with patients in clinic and by telephone. Minimum Level of Expertise : Must have excellent communication skills, including the ability to speak, read and write proficient English. Must have excellent phone skills and rapport. Must be comfortable with computers and medical terminology. In depth knowledge of all insurance types, including HMO, PPO and government health programs.

Medical Enterprise - Non-Clinical Onboarding - Must complete all onboarding requirements prior to the start date, with no exceptions.

Medical Enterprise - Non-Clinical Onboarding Requirements :

Background, Education, and Employment

Background Check :

Education :

Employment :

Other Requirements :

Medical Requirements :

Immunizations :

TB Test :

Drug Screen :

o Amphetamines

o Barbiturates

o Benzodiazepines

o Cocaine metabolite

o Opiates (Codeine, Morphine)

o Hydrocodone

o Hydromorphone

o Oxycodone

o Phencyclidine

o Methadone

o Propoxyphene

Influenza Vaccination :

COVID Vaccinations :

Note : All items are billable except for the drug screen.

Qualified Applicants with arrest or Conviction records will be considered for Employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act

Working Job Title Patient Access Representative Markup Category Medical Non Clinical Shift Details / Expected Working Days and Hours SEE JD Dress Code / Special Attire SEE JD Does this position require driving? No Will resource have direct patient contact? No HIPAA training required? Yes Nearest Parking Location SEE JD Will job responsibilities include working directly with minors? No

Does the position allow for the worker to be virtual / remote? No Shore Options Available for this Position Onshore Only