Patient Access Representative - 40 hrs/week

Sanford Health•Eau Claire, WI
•$16 - $23

About The Position

Sanford Health is hiring a Patient Access Representative for a 40-hour workweek. This position schedules appointments for Pediatrics, Nephrology, and Internal Medicine. The role's primary functions are patient registration and scheduling; duties may involve one or both functions depending on the setting, as well as additional location-specific tasks. In registration, the representative greets patients, verifies demographic information, completes registrations and related paperwork, creates electronic files, and provides, scans, and routes documents. The representative explains required paperwork and obtains signatures, establishes or helps arrange financial responsibility, and collects applicable co-payments and payments. The role may also address registration work-queue issues, denied insurance claims, and registration database maintenance. In scheduling, the representative arranges appointments and procedures, coordinates referrals, conducts pre-authorization, arranges interpreter services, checks patients in and out, and offers enrollment in additional resources. The representative works with nursing staff and providers to coordinate appointments and may maintain provider schedules, resolve work-queue issues, and manage recall lists and waitlists. Other duties vary by setting and may include chart preparation, financial assistance coordination, prior authorization, visit tracking, account information management, reports, assessments, Telemed appointments, charge entry and verification, appointment reminders, hospital admissions, copying and faxing, and ordering supplies. The representative may operate a multi-line telephone system and, depending on location, serve as a switchboard operator for codes and provider pages. Across settings, the role mentors new representatives and other staff, maintains confidentiality, and promotes professionalism, respect, and cooperation. The representative must be able to work independently and as part of a team, often taking direction from the nursing team, and provide empathetic customer service. Working knowledge of medical terminology and professional written communication are needed.

Requirements

  • One year of work experience, preferably in a medical office setting.
  • Customer service skills are essential.
  • Ability to work both independently and as part of a team.
  • Ability to maintain confidentiality of sensitive information.
  • Excellent customer service and ability to empathize with patients and their situations.
  • Working knowledge of medical terminology and professional written communication when making notes.

Nice To Haves

  • High school diploma or equivalent preferred.
  • Post-secondary education helpful.
  • Medical terminology helpful.
  • Six months of customer service experience desired.
  • BLS may be required for certain locations and/or settings.

Responsibilities

  • Greet patients and verify demographic information to accurately register and/or schedule them.
  • Complete registration paperwork, create electronic files, and provide, scan, route, and organize necessary forms and documents.
  • Explain required paperwork and obtain patient signatures.
  • Establish or assist with arrangements for financial responsibility and collect co-payments, pre-payments, and account-balance payments.
  • Address registration work-queue issues, including errors and denied insurance claims, and maintain registration database information as needed.
  • Schedule appointments and procedures; obtain and coordinate referrals; conduct pre-authorization; and arrange interpreter services.
  • Check patients in and out and offer enrollment in additional resources.
  • Collaborate with nursing staff and providers to coordinate appointments that meet patient needs.
  • As applicable, coordinate provider schedules and resolve work-queue issues, recall lists, and waitlists.
  • Depending on the setting, prepare and coordinate charts, support financial assistance and prior authorization, track visits, manage health information on accounts, prepare reports and assessments, coordinate Telemed appointments, maintain provider schedules, handle charge entry and verification, make reminder calls, and assist with hospital admissions.
  • Depending on the setting, operate multi-line telephones or a switchboard, call codes, page providers, make copies, send faxes, and order supplies.
  • Mentor new Patient Access Representatives and other staff.
  • Maintain confidentiality and demonstrate professionalism, mutual respect, cooperation, teamwork, and empathetic customer service.
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