Clinic Patient Access Rep

Description

POSITION SUMMARY

Assists in coordinating the activities between scheduling, insurance verification and pre-certification. Collaborates with a variety of personnel and departments to ensure smooth clinic operations.

PRIMARY DUTIES:

• Pre-registers/registers patients with accurate patient demographic, financial data. Upon registration, address co-pay, co-insurance, for scheduled appointment/procedure, etc.
• Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival.
• Stays current with insurance requirements.
• Responds to customer’s inquiries in a timely and professional manner.
• Assists with departmental coverage as needed.
• Manages daily appointment schedules which may include reminder calls and calling all referrals.
• Collects co-pays and perform co-pay reconciliation.
• Responsible for scanning and accurately placing documents, results, into the patient electronic medical record.
• Responsible for reviewing the patient electronic medical record in advance of patient appointment to assure that all required documents are in place.
• Establishes priorities and accomplishes task in a timely manner.
• Performs other duties as assigned.
  
  

Qualifications

EDUCATION & EXPERIENCE

Required:

• One year customer service experience.
• Experience using Microsoft Office applications, including Word, Excel and Outlook.
  
  

Preferred:

• High School Diploma/GED diploma.
• One year of medical office or related experience.
• Demonstrated knowledge of Medical Terminology and CPT/ICD9 coding.
• Knowledge of insurance process and regulations.
  
  

WORKING CONDITIONS

Must possess appropriate knowledge/skill to work in environment where there is potential for contact with communicable diseases, odors, fumes and other biohazards. Possess ability to communicate verbally and in writing; hearing adequate to respond appropriately to phone, equipment, alarms, etc.

GENERAL POSITION INFORMATION

The position is essential for the functioning of the St Joseph Medical Group. The work load is generated by the number of patients the providers encounter each day. Requires ability to make decisions and judgments based on knowledge and experience.