Patient Access Rep I

Fisher-Titus Health•Norwalk, OH

8d•Onsite

About The Position

The Patient Access Representatives provides customer-service coverage for Fisher-Titus and assume the responsibility for successful financial outcomes of all patient services. This position performs imperative duties, including but not limited to 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

registration
insurance verification
telephone coverage
data entry
filing protected health information (PHI)
patient referrals
point-of-service collections
maintaining patient relations
customer satisfaction
gathering and verifying confidential health and financial information
using various computer software
entering new patient data
verifying patient records
confirming completeness of electronic medical record (EMR)
filing records
complying with HIPAA
verifying insurance eligibility and benefits
obtaining pre-authorizations
verifying medical necessity
identifying patients needing Medicare Advance Beneficiary Notices (ABNs)
maintaining accurate records of authorizations
understanding insurance protocols for referrals, co-payments, deductibles
performing clerical duties
knowledge of safety policies and procedures
maintaining a safe environment
professionalism in appearance, speech, and conduct
providing services in accordance with state and federal regulations, as well as organizational standards

Responsibilities

Promptly fields and/or directs incoming calls, responds to patient and/or staff inquiries, and initiates patient triage slips, when necessary
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 changes as necessary, and files records in accordance with Fisher-Titus’s 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 (HIPPA)
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 records of authorizations within the [EHR]
Holds sufficient understanding of insurance protocols for referrals, co-payments, deductibles
Performs other clerical duties as assigned
Demonstrates knowledge of safety policies and procedures by maintaining a safe environment
Exhibits professionalism in appearance, speech, and conduct, and ensures that services are provided in accordance with state and federal regulations, as well as organizational standards
Other duties as assigned.