Patient Access Rep

Franciscan Medical Group•Tacoma, WA

14h•Onsite

About The Position

As a Patient Access Representative, you will manage administrative duties for the patient intake process in our clinic, adhering to established guidelines.Every day you will 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.To be successful, you will demonstrate critical thinking, strong customer service, and knowledge of insurance, billing, and medical terminology, ensuring a seamless, high-quality patient intake experience.

Requirements

High School Graduate
One year of customer service work experience and

Nice To Haves

Healthcare environment experience

Responsibilities

Registers and/or checks patients in/out.
Performs patient check-in at the time of visit; records and verifies all demographic, insurance and other information (e.g. Workers’ Comp, other third-party liability info); follows established procedures to ensure that all registration guidelines/requirements have been satisfied, including ensuring minors’ guardians have been notified; identifies deficiencies and resolves non-complex issues or escalates to appropriate staff for further action.
Conducts routine insurance eligibility verifications/
Copies/scans patient access related hardcopy materials (e.g. ID, referrals, L&I, insurance cards, etc.) into correct location in electronic medical record.
Records non-clinical charges from various sources. This could include entering charges for the completion of forms, for Depositions/Attorney Fees, for retail fees, etc.
Schedules appointments and ancillary services.
Schedules (and reschedules as necessary) patient clinic visits (based on authorized referral in the case of specialty clinics) in accordance with established standards and procedures; gathers and documents insurance eligibility data, conduct eligibility verification based on established policies.
Identifies patients requiring contact to confirm an existing appointment, and/or to schedule a periodic future visit; contacts patient in accordance with established procedures.
Contacts and follows up with patients to reschedule a missed/cancelled appointment; documents reason(s) for no-show in accordance with established procedures; notifies management if patient is non-compliant and further action is required.
Makes arrangements for addressing special/ancillary patient requirements, including transportation, interpreters and other needs relating to patient care and satisfaction.
Handles and reconciles payments.
Collects appropriate co-payments, co-insurances, and other fees/monies due, including cash payments (in accordance with FMG Business Office Cash Handling Procedures); posts payments to patient accounts; collects payments at the time of check-in or check-out where appropriate.
Performs end-of-day payment reconciliation; balances and closes out cash drawers; ensures that outstanding tasks are completed and that preparation work for the next day’s clinic is completed or assigned to other staff.
Continually monitor and reconcile issues prior to patient visit.
Identifies and reconciles remaining issues before patients arrive for their appointment.
Makes registration and other front-end corrections.
Ensures that all missing/erroneous/incomplete information is updated.
Ensures that all insurance eligibility checks are conducted where possible.
Distributes materials and responds to patient questions regarding routine billing and insurance matters.
Provides patient with pre-visit prep materials; packages materials to correspond with type/nature of patient appointment and sends to patient in a timely manner.
Provides basic information in response to patient questions on billing and insurance matters; obtains a non-complex cost estimate when requested; refers questions regarding more complex cost estimates/benefits information to Financial Counselor.