Patient Access Rep I- Pediatrics

Fisher-Titus Medical Center•Norwalk, OH

1d•Onsite

About The Position

The Patient Access Representative I provides customer service coverage for Fisher-Titus and assumes the responsibility for successful financial outcomes of all patient services. This position performs imperative duties, including but not limited to appointment scheduling, registration, insurance verification, telephone coverage, data entry, filing protected health information (PHI), patient referrals, and point-of-service collections while maintaining patient relations and customer satisfaction.

Requirements

High School diploma or GED required
At least 3-5 years of customer service, administrative, and/or data entry experience required
Customer service, teamwork, and conflict resolution skills
Efficient time management skills and ability to multi-task
Strong written, oral, and interpersonal communication skills
Demonstrated skills in organization, planning, coordinating, and collaborating
Strong understanding and comfort level with computer systems and Microsoft Office

Nice To Haves

Associate's degree in healthcare administration, business administration, or related field desired
At least 3 years of experience in a healthcare environment preferred.
Knowledge of database software applications desired

Responsibilities

Promptly fields and/or directs incoming calls, responds to patient/staff inquiries, and initiates patient triage slips, when necessary.
Works with patients to coordinate and accurately record appointment times and keeps a record of all scheduled, cancelled, and changed appointments to prevent over- or under-booking.
Ensures all registration and admission forms are ready for patients to complete upon arrival for service.
Practices proficient customer service skills by greeting and treating all patients and staff with respect and discretion.
Gathers and verifies all appropriate, confidential health and financial information from patients while using various computer software to assure payment for all authorized services.
Enters new patient data and/or verifies patient records are up to date, confirms the completeness of the electronic medical record (EMR), makes change as necessary, and files records in accordance with Fisher-Titus' filing system.
Complies with all organizational, state, and federal laws and registrations related to patient privacy and confidentiality, such as the Health Insurance Portability and Accountability Act (HIPAA).
Verifies insurance eligibility and benefits within a timeframe determined by Fisher-Titus and obtains pre-authorizations from third-party payers in accordance with payer requirements.
Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to the patient.
Identifies patients who will need Medicare Advance Beneficiary Notices (ABNs) of non-coverage and maintains accurate record of authorizations within the electronic health record.
Holds sufficient understanding of insurance protocols for referrals, co-payments, and deductibles.
Demonstrates knowledge of safety policies and procedures by maintaining a safe environment.
Exhibits professionalism in appearance, speech, and conduct. Ensures that services are provided in accordance with state and federal regulations, as well as organizational standards.
Completion of other duties as assigned, including clerical responsibilities.