Patient Access Representative - Specialty Clinics

Geisinger•Wilkes-Barre, PA
•Onsite

About The Position

The Patient Access Representative provides front-line support to the Specialty Clinics department and coordinates office activities effectively and efficiently. The role greets and registers incoming patients, supports checkout, and schedules future appointments as applicable. Work is typically performed in an office environment. The position also supports patients and staff with appointment-related communications, referrals, pre-certifications, financial obligations, medical record maintenance, and account work queues. The representative is accountable for meeting job-specific obligations and complying with organizational policies and procedures.

Requirements

  • High school diploma or equivalent (GED).
  • Clerical, communication, customer service, and confidentiality-related skills.

Nice To Haves

  • At least 1 year of related work experience (preferred).

Responsibilities

  • Check patients in for appointments and accurately verify their demographics.
  • Complete check-in procedures, monitor patient wait times, communicate changes to patients, and provide kiosk support where applicable.
  • Apply general guidelines and insurance ranking requirements to assign primary, secondary, and tertiary insurance per encounter; read and interpret insurance responses.
  • Provide required disclosure and privacy information and obtain necessary legal and financial signatures.
  • Explain patients’ financial obligations and collect fees at the time of service as appropriate.
  • Explain the purpose of and complete necessary regulatory forms with patients.
  • Schedule necessary follow-up appointments, including specialty or ancillary services when possible.
  • Process messages received through multiple channels regarding patient or physician requests for appointments, referrals, prescriptions, and complaints.
  • Notify patients or guarantors of anticipated financial responsibility, including copays, deductibles, and coinsurance, and collect amounts due as appropriate.
  • Post cash according to department guidelines.
  • Independently work work queues to ensure timely resolution of accounts.
  • Meet productivity and quality performance expectations.
  • Perform medical record maintenance and releases accurately.
  • Assist with referrals and pre-certifications at the time of the encounter.
  • Use and maintain patient recall and reschedule lists appropriately.

Benefits

  • Health, dental, and vision benefits starting on day one.
  • Three medical plan choices, including an expanded network for out-of-area employees and dependents.
  • Pre-tax healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA).
  • Company-paid life insurance and short- and long-term disability coverage.
  • 401(k) plan with automatic Geisinger contributions.
  • Paid time off (PTO) plan with accrual.
  • Up to $5,000 in tuition reimbursement per calendar year.
  • MyHealth Rewards wellness program with a financial incentive.
  • Adoption and fertility assistance, parental leave pay, and military leave pay.
  • Free Care.com membership with discounted backup care.
  • Employee Assistance Program with referrals for childcare, eldercare, and pet care; free legal guidance; mental health visits; work-life support; and digital self-help tools.
  • Voluntary accident, critical illness, hospital indemnity, identity theft protection, universal life, pet, and legal insurance.
  • Healthcare benefits for full-time and part-time positions from day one, including vision, dental, and domestic partner coverage.
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