Demo

Patient Access Representative

Infojini Inc
Los Angeles, CA Full Time
POSTED ON 1/19/2025
AVAILABLE BEFORE 4/18/2025

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

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.
  • 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 managers.
  • 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 100% active coverage and establishes / maintains active relationships with medical groups and insurance companies.
  • Reviews health insurance plans with patients in clinic and by telephone.
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