About the position
Patient Representatives are instrumental in ensuring the efficient and effective flow of patient access needs throughout the organization. Responsibilities may include greeting and registering patients, gathering and entering appropriate demographic and insurance/billing information, verification, scheduling appointments, providing patients with financial information, price estimates and the collection and entry of payments. Current knowledge of billing and coding requirements and the ability to apply these based on industry standards is required. Ability to resolve patient financial issues and negotiate payment arrangements. Representatives must fully understand the ramifications and impact of complete or inaccurate information to patient care and the overall revenue cycle. Position works in a team environment and delivers exceptional customer service. Other duties as assigned. Employees providing direct patient care must demonstrate competencies specific to the population served.
Responsibilities
- Greets and/or registers patients accurately and efficiently.
- Verifies insurance eligibility using online systems.
- Provides and/or completes required patient forms.
- Collects and enters payments, follows required balancing procedures.
- Analyzes, interprets and enters physician orders.
- Scans and indexes forms.
- Schedules and communicates appointment information accurately and efficiently for multiple facilities and ancillary departments.
- Verifies insurance for scheduled and urgent emergent patients following guidelines established per payer and obtains authorization based on payer specific criteria.
- Accurately completes assigned work queues.
- Identifies financial counseling needs.
- Maintains confidentiality in verbal, written and electronic communication.
- Follows established processes, protocols, and workflows.
- Takes initiative to resolve problems and meet patient needs.
Requirements
- High school diploma or general education degree (GED) required.
- Previous customer service experience required.
- Basic typing at 45 WPM, basic ten key, and computer skills within a Windows environment.
- Experience with multiple computer applications/operating systems, and office machines.
- Knowledge of HIPAA and confidentiality requirements, insurance payer regulations and requirements, and patient rights.
- Knowledge of revenue cycle components and his/her role in the ability to impact the overall process.
- Knowledge of the impact of accurate registration has on patient satisfaction.
- Analytical skills to solve simple to complex problems.
- Organization, prioritization and time management skills.
- Ability to multi-task.
- Ability to maintain composure in a position that has considerable deadlines, customer contact and high volumes of work.
Nice-to-haves
- Certified Healthcare Access Associate (CHAA) preferred.
- Medical Terminology, CPT and ICD-10 coding strongly preferred.
Benefits
- Full-time employment with a structured training program.
- Opportunity for career advancement within Bronson Healthcare Group.
