Patient Access Rep - Clinic

219 Health Network • Schererville, IN

37d • Onsite

About The Position

Under general supervision, coordinates services by performing patient access, registration, scheduling, insurance verification and predeterminations for patients. Interacts daily with patients, insurance carriers, physicians, and staff. Responsible for the verification and authorization of insurance benefits on patient accounts, through electronic verification systems or through contact. Ensures referrals, authorizations, and predeterminations are submitted in an efficient, timely manner. Pursues account receivable balance resolutions.

Requirements

• High School graduate (or GED equivalent).
• 1-2 years insurance or medical billing experience.
• Physician practice setting preferred.
• Knowledge of medical terminology and CPT/ICD-9 & 10 coding necessary.
• Comprehension of government and third party billing regulations required.
• Must have at least 1 year experience with predetermination processes.
• Must be able to utilize Microsoft office applications, perform internet navigation and research, and have prior experience using a computerized health information system.
• Needs to be familiar with operating general office equipment, including but not limited: scanner; fax machine; photocopy; printer and adding machine.
• Must demonstrate effective communication and problem solving skills.

Nice To Haves

• Physician practice setting preferred.

Responsibilities

• Coordinates services by performing patient access, registration, scheduling, insurance verification and predeterminations for patients.
• Interacts daily with patients, insurance carriers, physicians, and staff.
• Responsible for the verification and authorization of insurance benefits on patient accounts, through electronic verification systems or through contact.
• Ensures referrals, authorizations, and predeterminations are submitted in an efficient, timely manner.
• Pursues account receivable balance resolutions.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED
• Number of Employees: 11-50 employees