Patient Access Rep

POSITION SUMMARY:

The Patient Access Representative is responsible for managing patient appointments, patient information, and payment processing through accurate and timely data entry.

ESSENTIAL FUNCTIONS:

To perform this job successfully, an individual must be able to perform each essential function satisfactorily.

1. Comply with established policies and procedures.
2. Provide excellent customer service.
3. Manage appointment schedules to ensure timely patient flow.
4. Collect mandatory patient information to ensure accurate demographic entry.
5. Coordinate patient information collection related to Sliding Scale Program.
6. Verify the needed insurance referral or authorization for services.
7. Verify insurance eligibility to ensure accurate and timely remittance.
8. Collect patient payments.
9. Ensure accurate and timely information exchange with the clinical department.
10. Balance cash draw to ensure accuracy.
11. Manage patient communication and correspondence.
12. Collect data for routine reporting.
13. Travel as required to attend meetings and seminars.
14. Accomplish projects as a team member or individual as assigned.
15. Perform other duties as may be assigned.

QUALIFICATIONS:

Knowledge of:

Basic currency exchange

Computer software applications; EPIC, word processing, electronic spreadsheets

HIPAA, Medicare/FQHC, Medicaid

Medical billing systems; patient/insurance financial management

Ability to:

Follow through, assume responsibility, and use good judgment.

Maintain professionalism under stressful situations.

Communicate effectively and diplomatically with patients, external insurance and contracting entities, and facility personnel both orally and in writing.

Experience/Training:

Any combination of experience and training that would provide the required knowledge and abilities is qualifying. A typical way to obtain the required knowledge and abilities would be:

Experience:

High School Diploma or GED require

MUST HAVE 2 YEARS of Medical Receptionist/ Medical Registration experience.

Technical Knowledge:

Other Skills: Good oral and written communication. Strong computer literacy

Equipment: PC, Laser-jet printers, modem, facsimile machine, computerized voice mail system, and common office machines.

Software Knowledge: Windows, MS Office (Word, Excel, Access, PowerPoint), Medical Billing Software

PERSONAL CHARACTERISTICS:

Possess the ability to establish and maintain professional working relationships with all levels of staff, clients, and the public.

Detail-oriented with the ability to work with minimum supervision.

Ability to understand and follow verbal and written communication.

Willingness to be part of a team unit and cooperate in the accomplishment of departmental goals and objectives.