Patient Access Rep

Several immediate openings, various shifts

The Senior Patient Access Representative will greet, schedule, meet and register patients in a friendly, courteous, and professional manner. 

·         Answers and routes telephone calls and messages

·         Coordinates insurance verifications and pre-authorizations

·         Maintains medical records and prepares charts/paperwork

·         Works effectively with insurance companies to obtain/verify pre-certification/ authorization for services

·         Ability to understand/interpret documented clinical information and relay pertinent medical/clinical information to the insurance company 

·         Faxes pre-certification request form to insurance company

·         Maintains files and security of confidential information utilizing host system to scan and input data as per established procedures

·         Verifies medical insurance information and documents in scheduling/registration modules

·         Accurately enters and updates patient data, and other general data, into the computer system

·         Patient intake; insurance verification, notification of copays/patient liability and confirmation of demographics 

·         Maintain account work progress, including but not limited to updating authorization logs, account referral in EMR, authorization paperwork and issue reports

·         Demonstrates knowledge of varied managed care insurance and regulatory guidelines

·         Monitors waiting area and communicates with clinical staff of patient readiness

·          Provides assistance as needed to physicians, Department Managers, and clinical staff

·         Effective communication skills; clear written and oral techniques

·         Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

·         High School Diploma or equivalent required

·         College degree preferred

·         1 Year Office/Clerical experience in Healthcare field required

·         Exemplary customer service skills, including the ability to negotiate and problem-solve

·         Ability to communicate using clear and well organized oral and written techniques

·         Strong Attention to detail

·         Ability to work within deadlines with frequent interruptions