FTE Patient Access Representative I

Scottish Rite for Children•Frisco, TX

10d•Onsite

About The Position

Our patients are our number one priority! We're committed to giving children back their childhood! This position is for a FTE Patient Access Representative I located at the Frisco - Ambulatory Surgical Center, working 40 hours per week at the discretion of the supervisor. The role involves managing a high volume of telephone calls, completing workqueues, and accurately scheduling and rescheduling patient appointments. Responsibilities include verifying patient information and insurance coverage, explaining benefit eligibility, referring families to financial counselors, and pre-registering data elements. The representative will perform insurance verifications, update the billing system, obtain authorizations and pre-certifications, and handle correspondence from insurance companies. Additionally, the role provides clerical and administrative support, creates tracking reports, alters provider schedule templates in the EMR, and assists with departmental coverage as needed.

Requirements

High School education or equivalent

Nice To Haves

2 years working in a medical office setting
experience in insurance procedures
experience in medical appointment scheduling

Responsibilities

Manages a high volume of incoming and outgoing telephone calls
Responsible for completing assigned workqueues
Accurately schedule and re-schedule patient appointments in a timely manner
Effectively communicate and coordinate patient appointments with downstream departments
Contacts families to verify their information, insurance coverage, explain benefit eligibility, and refer families to financial counselors to enroll in financial assistance
Accurately pre-register specific data elements prior to the patients scheduled date of service
Perform all aspects of insurance verifications
Add insurance coverage and update the billing system to reflect the insurance status of the patient
Obtain authorizations and pre-certifications as required for all procedures; work with clinical staff to obtain additional clinical information for benefit review
Responsible for all correspondence from Insurance companies to be sent to HIM for scanning.
Provide clerical and administrative support as required
Create reports for tracking and trending purposes
Alter provider schedule template in electronic medical record (EMR)
Assist with departmental coverage as requested