Patient Access Rep-Senior Wellness/Family Medicine

Valley Health Systems Inc•Huntington, WV

3h•Onsite

About The Position

This position plays an important function in the health care delivery system and is the first point where contact is made personally or by telephone. The receptionist will receive the patient and direct them to the services needed. Making appointments and making preliminary assessment category of payment for patients are essential prior to treatment.

Requirements

High school graduate/GED.
Ability to relate to patients, through familiarity with medical terminology and triage procedure.
Good organization and ability to multitask.
Friendly personality with the desire to work with the public.

Responsibilities

Opening and closing of the health center per shift requirements.
Welcome patients as they contact the center personally or by telephone, and explain the services available, payment categories, and billing procedures.
Schedule appointments; direct walk-in patients and emergencies as per established policies and procedures.
Answer all incoming calls and route them to the appropriate staff.
Register all patients per registration protocols and collect all documentation. Accurately record documentation and demographic information in billing software.
Generate an encounter for each patient.
Review and verify patient coverage of insurance or other programs and computes the charges to be paid by the patient.
Collect deposits or co-pays/deductibles prior to the patient being seen by the provider per established policies and procedures. Inform patient of their outstanding balance, collect said balance, and issue cash receipt when monies are collected.
Enter updated demographic data and forms required for the patient visit into EHR.
Work closely with Medical, Dental and Nursing staff to assure smooth patient flow and cut down on waiting time.
Follow up on “no show” patients on a daily basis.
Communicate patient’s problem/complaint to the office coordinator or Operations team.
Open and distribute mail, faxes, and other correspondence related to patient care.
Copy and distribute medical records with proper documentation for release of records.
Assist in care coordination which may include obtaining test and referral results and communication with various entities including but not limited to community organizations, health plans, facilities and specialists.
Proactively address needs of the patients and families through the concept of population management.
Effectively communicate with all patients with specific attention to the vulnerable patient population.
Actively participate in the medical home care team which is comprised of clinical and non-clinical staff working together towards a common goal: delivering quality care to our patients.
Communicate and coordinate effectively with all members of the care team.
Provide self management support in the form of patient coaching and motivational interviewing when appropriate.
Acknowledges the importance of a team approach when providing patient care.
Schedule referrals as required.
Obtain prior authorization for procedures as required by various insurance plans.
Process daily batch and reconcile deposits as needed.
Maintain compliance with the organization’s confidentiality policy in accordance to the Health Insurance Portability and Accountability Act (HIPAA).
Maintain a clean environment for patients and staff.
Perform other duties as assigned.