Patient Access Representative II
About The Position
Under the leadership of the designated Patient Access Supervisor, the Patient Access Representative II is responsible for, but not limited to, performing duties related to scheduling and pre-registration for upcoming services; obtaining orders from electronic faxes or physician offices for scheduled tests or procedures; ensuring exams are scheduled accordingly, and providing clear and accurate instructions/information to patients regarding their upcoming procedures. The Patient Access Representative II is responsible for verifying and entering complete and accurate demographic and insurance information, assuring accounts are thoroughly reviewed for accuracy pertaining to insurance coverage, and billing/financial requirements. The Patient Access Representative II is responsible to obtain required authorizations/certifications, and for analyzing insurance coverage and benefits for service to ensure timely reimbursement. The Patient Access Representative II is responsible for clearly explaining financial responsibility to patients/guarantors, collecting payments/deposits at point of service, and to be able to asssist patients/guarantors to pay their estimated amount due or set up a payment plan. The Patient Access Representative II can identify underinsured/uninsured patients, being able to provide them with information regarding available programs for financial assistance and be re. The Patient Access Representative II is to utilize standard work and department scripting for interviewing and gathering information from the patient, doctor's office, insurance company, and government agencies. This position is to accurately perform registration, and transfer/discharge functions based on the organization’s policies and procedures, along with entering complete and accurate data utilizing computer technology. This position requires the ability to explain financial agreements, consents, financial and/or admissions agreements and obtain signatures as needed. The Patient Access Representative II position serves patients, insurance companies, physician’s offices, and other customers requiring excellent communication and customer service skills.
Requirements
- Two years’ experience working in hospital access, physician office, or billing and collections or an equivalent combination of relevant education and experience with a thorough understanding of insurance requirements, coverage, benefits, discounts and reimbursements required.
- Demonstrated ability to accurately calculate estimated patient portions due.
- Thorough understanding of government programs available to patients to assist with reimbursement.
- Knowledge of and experience with medical terminology.
- General clerical experience (typing, filing, answering phones, office equipment) with basic computer skills, including data entry and office programs.
- Knowledge of basic grammar and mathematical principles.
- Ability to analyze data, perform multiple tasks and work independently.
- Ability to maintain a positive professional demeanor in a demanding environment.
- High school diploma, G.E.D., or equivalent work experience in related field.
Nice To Haves
- Understanding of diagnosis and procedure coding is preferred.
- Knowledge of initiating or obtaining an authorization.
- Should have at least 2 years of medical terminology experience
- Relevant course work above and beyond high school is preferred.
Responsibilities
- performing duties related to scheduling and pre-registration for upcoming services
- obtaining orders from electronic faxes or physician offices for scheduled tests or procedures
- ensuring exams are scheduled accordingly
- providing clear and accurate instructions/information to patients regarding their upcoming procedures
- verifying and entering complete and accurate demographic and insurance information
- assuring accounts are thoroughly reviewed for accuracy pertaining to insurance coverage, and billing/financial requirements
- obtain required authorizations/certifications
- analyzing insurance coverage and benefits for service to ensure timely reimbursement
- clearly explaining financial responsibility to patients/guarantors
- collecting payments/deposits at point of service
- assist patients/guarantors to pay their estimated amount due or set up a payment plan
- identify underinsured/uninsured patients
- provide them with information regarding available programs for financial assistance
- utilize standard work and department scripting for interviewing and gathering information from the patient, doctor's office, insurance company, and government agencies
- accurately perform registration, and transfer/discharge functions based on the organization’s policies and procedures
- entering complete and accurate data utilizing computer technology
- explain financial agreements, consents, financial and/or admissions agreements and obtain signatures as needed
- serves patients, insurance companies, physician’s offices, and other customers requiring excellent communication and customer service skills
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
