Patient Access Representative - Community Care

Geisinger • Wilkes-Barre, PA

2d • Onsite

About The Position

Geisinger’s Patient Access Representatives (PARs) are excellent communicators who handle patient inquiries every day — all while maintaining empathy, professionalism and providing a positive patient experience. The role is responsible for front line support to the department, coordinating and performing front line office activities in an effective and efficient manner. This includes greeting and registering incoming patients, supporting the patient check out process, and scheduling future appointments as applicable. PARs are responsible for checking patients in for appointments and accurately verifying demographics, ensuring all check-in procedures are completed and monitoring patient wait times, communicating changes to the patient as necessary. They must read and interpret insurance responses, understand general guidelines and insurance rank requirements to properly assign primary, secondary, and tertiary insurance per encounter. Additionally, they ensure patients receive necessary disclosure and privacy information, obtain necessary legal and financial signatures, communicate financial obligations to patients, and collect fees at time of service as appropriate. PARs communicate the purpose of and complete all necessary regulatory forms with patients, and complete patient visits by scheduling any necessary follow-up appointments, including specialty or ancillary services. They process multi-channel messages related to patient and/or physician requests regarding appointments, referrals, prescriptions, and complaints. They notify patients or guarantors of anticipated financial responsibility, including copays, deductibles, or coinsurances and collect accordingly. The role also involves performing cash posting following department guidelines, abiding by organizational and HIPAA guidelines, privacy practices, patient confidentiality and patient rights, and independently working work queues to ensure timely resolution of all accounts. Maintaining productivity and quality performance expectations, and a high regard for confidentiality are essential. PARs accurately perform medical record maintenance and releases, assist with referrals and pre-certifications at the time of encounter, and properly utilize and maintain patient recall and reschedule lists. Work is typically performed in an office environment. Accountable for satisfying all job-specific obligations and complying with all organization policies and procedures.

Requirements

• Must hold a HS diploma or GED.
• Minimum of 1 year-Related work experience (Preferred)
• Clerical I
• Communication
• Customer Service
• Office Politics And Confidentiality

Nice To Haves

• Minimum of 1 year-Related work experience

Responsibilities

• Responsible for front line support to the department.
• Coordinates and performs front line office activities in an effective and efficient manner for the department.
• Greets and registers incoming patients, supports the patient check out process and schedules future appointments as applicable.
• Responsible for checking patients in for appointments and accurately verifying demographics.
• Assures all check-in procedures are completed and monitors patient wait times, communicating changes to the patient as necessary.
• Reads and interprets insurance responses.
• Understands general guidelines and insurance rank requirement to properly assign primary, secondary, and tertiary insurance per encounter.
• Ensures patient receives necessary disclosure and privacy information, obtains necessary legal and financial signatures.
• Communicates financial obligations to patients and collects fees at time of service as appropriate.
• Communicates the purpose of and completes all necessary regulatory forms with patient.
• Completes patient's visit by scheduling any necessary follow up appointments to include any specialty or ancillary services as possible.
• Processes multi-channel messages related to patient and/or physician requests regarding: appointments, referrals, prescriptions, and complaints.
• Notifies patient or guarantor of anticipated financial responsibility including copays, deductibles, or coinsurances and collects accordingly.
• Performs cash posting following department guidelines.
• Abides by organizational and HIPAA guidelines, privacy practices, patient confidentiality and patient rights.
• Independently works work queues to ensure timely resolution of all accounts.
• Maintain productivity and quality performance expectations.
• Must maintain high regard for confidentiality.
• Accurately performs medical record maintenance and releases.
• Assists with referrals and pre-certifications, at the time of encounter.
• Properly utilizes and maintains patient recall and reschedule lists.
• Accountable for satisfying all job specific obligations and complying with all organization policies and procedures.

Benefits

• Full benefits (health, dental and vision) starting on day one
• Three medical plan choices, including an expanded network for out-of-area employees and dependents
• Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA)
• Company-paid life insurance, short-term disability, and long-term disability coverage
• 401(k) plan that includes automatic Geisinger contributions
• Generous paid time off (PTO) plan that allows you to accrue time quickly
• Up to $5,000 in tuition reimbursement per calendar year
• MyHealth Rewards wellness program to improve your health while earning a financial incentive
• Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones
• Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care. Access free legal guidance, mental health visits, work-life support, digital self-help tools and more.
• Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance
• healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.
• atmosphere of collaboration, cooperation and collegiality.
• healthcare benefits for full time and part time positions from day one, including vision, dental and benefits for domestic partners.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED