Patient Access Rep Lead - Clinic
About The Position
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health, operating over 700 care sites across the U.S. The organization is committed to building healthy communities, advocating for the poor and vulnerable, and innovating healing. As a Patient Access Representative, you will manage administrative duties for the patient intake process in a clinic, adhering to established guidelines. This role involves daily interaction with patients in person and by phone, facilitating check-in/out, collecting data and payments, validating insurance, scheduling appointments, and processing referrals and authorizations. Success in this role requires critical thinking, strong customer service skills, and knowledge of insurance, billing, and medical terminology to ensure a seamless, high-quality patient intake experience.
Requirements
- High School Graduate General Studies, upon hire
- High School GED General Studies, upon hire
- Three (3) years of related experience, upon hire
Responsibilities
- Manage administrative duties for the patient intake process in the clinic, adhering to established guidelines
- Interact with patients in person and by phone, facilitating check-in/out, collecting data and payments, validating insurance, scheduling appointments, and processing referrals and authorizations
- Work with Management to evaluate staffing and scheduling
- Provide guidance and leadership to staff in the implementation of existing and new departmental policies and procedures, especially as they relate to handling of patients in compliance with EMTALA, HIPAA, and other PAS regulations
- Ensure staff adheres to and complies with established policies and procedures, and inform management of any violation of said policies
- Utilize effective communication and interaction skills with patients, staff, physicians, insurance companies, and other hospital personnel (i.e. business office, Information Systems, third party payers, Medical Records) to prevent potential problems and to resolve existing ones
- Handle investigation of problems or issues raised by staff, customers, or management
- Manage workload through effective communication, ensuring technical and operational problems are documented and appropriate action is taken to process the workload in an equitable manner
- Provide accurate departmental reports as requested, ensuring timely and accurate information is disseminated to co‐workers and management levels as appropriate, summarizing problems and solutions
- Review collection processes as a means of enhancing service and increasing collections
- Identify performance opportunities at the time they occur, provide feedback to the employee(s) in a timely manner, and communicate this information to management
- Identify potential quality and efficiency improvements
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
