What are the responsibilities and job description for the Patient Access Representative position at LOS ORTHOPAEDIC AND SPINE SURGERY CENTER LLC?
1. Patient Check-In and Check-Out:
o Patient Reception: Greet patients and visitors in a friendly and professional manner as they arrive at the surgery center.
o Check-In Procedures: Verify patient information, confirm appointments, and collect required documents such as insurance cards, identification, and consent forms
o Ensure Smooth Patient Flow: Manage patient flow and ensure that patients are promptly checked in and escorted to waiting areas or exam rooms.
2. Insurance Verification and Documentation:
o Verify Insurance Coverage: Collect and verify patient insurance information, ensuring coverage and ensuring prior authorization is obtained when needed.
o Documentation Management: Ensure that all necessary paperwork, including insurance details, medical history, and consent forms, are completed and entered into the system accurately.
o Billing Support: Assist with billing inquiries and provide patients with information about co-pays, deductibles, and other financial responsibilities.
3. Patient Communication and Customer Service:
o Answering Calls: Answer incoming calls in a timely, professional manner, addressing patient inquiries or directing them to the appropriate department.
o Provide Information: Offer general information to patients about services, preparation instructions for surgery, and general ASC policies.
o Resolve Issues: Handle patient inquiries and concerns with professionalism and empathy, directing them to appropriate personnel for further assistance if necessary.
o Coordination: Work with medical and administrative staff to ensure patients receive the information and support they need.
4. Administrative Duties:
o Data Entry: Enter patient information and appointment details into the electronic health record (EHR) system.
o Manage Front Desk Supplies: Ensure the front desk area is stocked with necessary forms, brochures, and supplies.
5. Maintaining a Professional Environment:
o Patient Confidentiality: Maintain patient privacy and confidentiality in accordance with HIPAA regulations.
o Facility Cleanliness: Ensure the front desk area is clean, organized, and presentable at all times.
o Supportive Atmosphere: Maintain a calm, welcoming, and supportive atmosphere for patients, families, and visitors.
o Work with Medical Staff: Collaborate with nurses, physicians, and surgical teams to ensure smooth patient transitions between departments (e.g., from waiting to surgery).
o Assist with Clerical Tasks: Provide general clerical support to administrative and medical teams, as required, to ensure the overall efficiency of the ASC.
Requirements:- High School Diploma or equivalent (required).
- Additional education or certification in healthcare administration, medical office management, or related field is preferred.
- Previous experience in a front desk or customer service role, preferably in a healthcare or medical setting.
- Experience with insurance verification and scheduling is preferred.
- Knowledge of medical terminology and familiarity with electronic health records (EHR) systems is a plus.
- Strong interpersonal and communication skills with the ability to interact professionally with patients, families, and medical staff.
- Excellent organizational and time management skills to manage a high volume of tasks in a fast-paced environment.
- Attention to detail and accuracy in entering patient information and verifying insurance.
- Ability to remain calm and professional under pressure or in difficult situations.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and ability to learn new office systems quickly.
- Knowledge of HIPAA guidelines and confidentiality standards.