Patient Access Rep - Clinic Referral Center

CommonSpirit Health•Bryan, TX

About The Position

The Patient Access Representative manages administrative duties for the patient intake process in a clinic, following established guidelines. The role interacts with patients in person and by phone to facilitate check-in and check-out, collect data and payments, validate insurance, schedule appointments, and process referrals and authorizations. The representative provides a seamless, high-quality patient intake experience through critical thinking, strong customer service, and knowledge of insurance, billing, and medical terminology. The role performs collection functions and assists patients with payment methods and financial assistance. It involves interviewing patients and/or family members, collecting or negotiating point-of-service payments, or connecting patients to financial assistance programs. The representative communicates courteously and clearly with patients, guarantors, family members, clinical staff, other hospital personnel, vendors, physicians, and physicians’ office staff. The representative also provides estimates of patient responsibility for common procedures and counsels patients about third-party coverage, financial responsibility, and billing procedures.

Requirements

  • High school diploma in General Studies or a High School GED.
  • One year of experience.

Responsibilities

  • Manage administrative duties for the clinic patient intake process in accordance with established guidelines.
  • Interact with patients in person and by phone to facilitate check-in and check-out.
  • Collect patient data and payments, validate insurance, schedule appointments, and process referrals and authorizations.
  • Perform collection functions and assist patients with payment methods and financial assistance.
  • Interview patients and/or family members.
  • Collect or negotiate point-of-service payments or connect patients with financial assistance programs.
  • Communicate information courteously, clearly, and informatively to patients, guarantors, family members, clinical staff, hospital personnel, vendors, physicians, and physicians’ office staff.
  • Provide estimates of patient responsibility for common procedures based on established charge estimates and applicable deductible, coinsurance, and standard copay benefit designs.
  • Counsel patients regarding third-party coverage, financial responsibility, and billing procedures.
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