Patient Access Rep II

Fingerlakes Health•Geneva, NY

49d

About The Position

The Patient Service Representative (PSR) is responsible for obtaining patient demographics, insurance and financial information, and applicable co-pays and deductibles for all scheduled patients prior to the date of service. Responsibilities include entry of the data into the facility computer system as well as coordinating with the patient and the collection of any outstanding information/co-payments on the date of service. Responsibilities also include: Verifying payer coverage of the services to be provided to the patient, Pre-certifying the service with the payer, Obtaining any required pre-authorization(s), and documenting all information related to the certification/authorization. The PSR counsels patients on insurance and financial options, identifies billable third party payers, and determines insurance priority and coordination of benefits. Acts as a liaison to insurance companies, hospital departments, physician offices, and patients. The Patient Service Representative will be responsible for providing customer service excellence in a professional and helpful manner at all times, and serving as a resource for patients prior to services.

Requirements

High School diploma
Previous experience with cash collections.
Medical Terminology, CPT/ICD-9/10 Coding knowledge.
Data entry knowledge (including diagnosis information).
Overall knowledge and understanding of the revenue cycle and accounts receivable.
Demonstrated ability to handle confidential information with discretion and ability to deal with the public in a professional and courteous manner.
Ability to meet deadlines, manage multiple priorities and enhance the spirit of teamwork through effective role modeling.
Excellent interpersonal, communication and organization skills.
Computer literacy

Nice To Haves

Two or four year college degree
Five to seven years of experience in Registration or Patient Accounts.
Bilingual in Spanish and English.
Experience with Microsoft Office products and electronic medical record

Responsibilities

Obtaining patient demographics, insurance and financial information
Entering data into the facility computer system
Coordinating with patients and collecting outstanding information/co-payments
Verifying payer coverage
Pre-certifying service with the payer
Obtaining required pre-authorizations
Documenting all certification/authorization information
Counseling patients on insurance and financial options
Identifying billable third party payers
Determining insurance priority and coordination of benefits
Acting as a liaison to insurance companies, hospital departments, physician offices, and patients
Providing customer service excellence