PATIENT ACCESS REPRESENTATIVE

Fort Defiance Indian Hospital Board, Inc.•Fort Defiance Agency, AZ

7d•$19 - $23•Onsite

About The Position

This position is responsible for providing high-quality customer service to external and internal customers, greeting patients, verifying appointment information, and responding to inquiries. The role involves interviewing new patients to determine eligibility, adding them to the database, and performing registration/check-in processes. Key duties include data entry, providing patients with necessary forms, obtaining signatures, and generating population health summaries. The representative will also verify insurance eligibility, assist with pre-certification and authorizations, and review patient registration information for accuracy. They will check patients into the clinic electronically, participate in departmental training, and initiate new health records. Additionally, the role involves requesting and verifying eligibility documents, determining and correcting claim discrepancies, scheduling follow-up appointments, and facilitating the faxing of documents. The position is located within the Navajo Nation and adheres to a Navajo/Indian Preference in Employment Policy.

Requirements

One (1) year of direct work experience in registration, scheduling, screening or customer service.
High School Graduate or Equivalency (HSE)
VALID, UNRESTRICTED INSURABLE DRIVER’S LICENSE
Resumes and references are required

Responsibilities

Provides high quality customer service to both external and internal customers that meets or exceeds the service standards of the health care industry.
Greets all patients, families and visitors, verifies appointment information, provides directions and responds to inquires as appropriate.
Interviews new patients to determine eligibility, adds to database as appropriate to build patient health record.
Performs registration/check-in processes, including but not limited to performing data entry activities, providing patients with appropriate information and intake forms, obtaining necessary signatures and generating population health summary.
Verifies insurance eligibility for services rendered with the payers and documents appropriately. Assists in obtaining or validating pre-certification, referrals, and authorizations.
Reviews patient registration information for updates and/or changes to primary and secondary insurance coverage to ensure accuracy of billing.
Checks patient into the clinic via the electronic record to acknowledge the patient has arrived for an appointment or is requesting to be evaluated and to generate a visit record for the patient.
Participates in departmental orientation, on the job training and quality assurance programs/initiatives.
Interviews patients to obtain information to initiate a new health record and communicates to Health Information Management when record reactivation is required.
Requests for tribal enrollment and other eligibility documents for verification to ensure coverage.
Determines sources of discrepancy or reasons for denial and implements corrective action as appropriate to ensure that the claims can be processed for payment.
Schedules appointments for patients needing following up in the clinic or specialty areas.
Performs or actively facilitates faxing of appropriate documents and records to other facilities or other medical providers.
Performs other duties as assigned.