Patient Access Representative - Surgery Clinic

Job Summary:

The Patient Access Representative is responsible for providing outstanding customer service, ensuring a smooth, orderly flow of every patient throughout their encounter. This position is responsible for providing superior clerical support to the healthcare team in all patient access areas by being timely and responsive to their needs and expectations in appointment scheduling and registration, collecting applicable time of service payments, admission of patients, and verifying patient’s medical insurances.

Major Responsibilities / Duties / Critical Tasks:

• Demonstrates professional behavior in all interactions and utilizes proper telephone etiquette during every call.
• Performs patient appointment scheduling, registration, insurance verification, check-in, and check-out procedures with the goal of 100% accuracy. This includes obtaining pre-certifications, and referral authorizations.
• Collects applicable co-pays, deductibles, and other fees for services rendered.
• Refers patients to available hospital, community, and state assistance programs as applicable.
• Keeps up to date on billing requirements of third-party payors, Medicare, Medicaid, and communicates information to other areas involved.
• Adheres to internal controls established for the department Individual will be responsible for both working and the maintenance of Epic work queues as assigned by supervisor.
• Insurance Verification, Obtaining authorizations for in-office procedures, scheduling cases.

Accompanying Knowledge, Skills, Abilities and Competencies:

• Ability to operate standard office equipment is preferred.
• Working knowledge of Microsoft Office Products.
• Customer service skills.
• Ability to multi-task in a fast-paced working environment.
• Excellent communication skills, both verbal and non-verbal.

Required Education / Experience:

• High School Diploma or equivalent required.
• Two (2) years’ clerical experience in a medical field preferred.