Patient Access Representative | Gastroenterology | Full Time

Sanford Health•Weston, WI

About The Position

The Patient Access Representative (PAR) performs patient registration, scheduling, or both depending on the location and setting, along with other assigned duties. In a registration role, the PAR greets patients, verifies demographic information, completes registration and scheduling as applicable, prepares and routes paperwork, creates electronic files, explains forms and obtains signatures, establishes financial responsibility, assists with payment arrangements, and collects payments. The role may also address registration work-queue issues, denied insurance claims, and registration database maintenance. In a scheduling role, the PAR schedules appointments and procedures, coordinates referrals, conducts pre-authorization, arranges interpreter services, checks patients in and out, and offers enrollment in additional resources. The PAR works with nursing teams and providers to coordinate care and may maintain provider schedules, address work-queue issues, and manage recalls and waitlists. Depending on the setting, duties may also include chart and document coordination, financial assistance, prior authorization, visit tracking, health information management, reporting, assessments, telemedicine coordination, charge entry and verification, appointment reminders, hospital admissions, faxing, copying, and ordering supplies. The PAR mentors new representatives and other staff, contributes to a professional and respectful team environment, and may work independently or as part of a team. The role requires confidentiality, excellent customer service, empathy, working knowledge of medical terminology, and professional written communication.

Requirements

High school diploma or equivalent preferred.
One year of work experience, preferably in a medical office setting.
Customer service skills are essential; six months of customer service experience is desired.
Ability to work independently and as part of a team.
Ability to maintain confidentiality of sensitive information and demonstrate empathy and excellent customer service.
Working knowledge of medical terminology and professional written communication skills.
BLS may be required for certain locations or settings.

Nice To Haves

Post-secondary education.
Medical terminology knowledge.
Six months of customer service experience.

Responsibilities

Greet patients and verify demographic information for accurate registration and scheduling.
Create electronic files and prepare, scan, route, and explain necessary forms and documents; obtain patient signatures.
Establish financial responsibility, assist with payment arrangements, and collect co-payments, pre-payments, and account-balance payments.
Address registration work-queue issues, including errors, denied insurance claims, and registration database maintenance.
Schedule appointments and procedures; obtain and coordinate referrals; conduct pre-authorization; arrange interpreter services; and check patients in and out.
Collaborate with nursing teams and providers to coordinate appointments that meet patient needs.
As applicable, coordinate provider schedules, resolve work-queue issues, and manage recalls and waitlists.
Operate multi-line telephones and, depending on location, act as a switchboard operator by calling codes and paging providers.
Perform additional setting-specific duties, which may include chart preparation, document coordination, financial assistance, visit tracking, health information management, reporting, assessments, telemedicine coordination, schedule maintenance, charge entry and verification, appointment reminder calls, hospital admissions, copying, faxing, and ordering supplies.
Mentor new Patient Access Representatives and other staff.
Maintain confidentiality and contribute to a professional, respectful, cooperative team environment.