Patient Access Representative III
About The Position
The Patient Access Representative manages administrative duties for the patient intake process in a clinic while adhering to established guidelines. The role involves interacting 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 uses critical thinking, customer service skills, and knowledge of insurance, billing, and medical terminology to support a seamless, high-quality patient intake experience. The role obtains detailed patient insurance benefit information and discusses benefits and financial matters with patients and/or family members during initial evaluation. It advises patients on insurance and billing issues and options, serves as a resource on financial matters, coordinates payer authorizations, and monitors and updates information regarding insurance data, physicians, authorizations, and managed care contracting. The representative also assists patients and their families with insurance and other financial questions.
Requirements
- High school graduate or GED.
- Two years of related experience.
- Critical thinking, strong customer service, and knowledge of insurance, billing, and medical terminology.
Responsibilities
- Obtain detailed patient insurance benefit information.
- Discuss benefits and other financial issues with patients and/or family members during initial evaluation.
- Advise patients on insurance and billing issues and options, and serve as a resource on financial matters.
- Coordinate all necessary payer authorizations.
- Monitor and update information regarding insurance data, physicians, authorizations, and managed care contracting.
- Assist patients and their families with questions concerning insurance and other financial issues.
- Facilitate patient check-in and check-out, collect data and payments, validate insurance, schedule appointments, and process referrals and authorizations.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
