Patient Access Representative - Specialty Clinics

Geisinger•Scranton, PA

2d•Onsite

About The Position

The Patient Access Representative provides front-line support to the Specialty Clinics department by coordinating and performing office activities effectively and efficiently. The role greets and registers incoming patients, supports patient check-out, and schedules future appointments as applicable. Work is typically performed in an office environment. The representative checks patients in, verifies demographic information, completes required check-in procedures, monitors and communicates patient wait times, and provides kiosk support where applicable. The role handles insurance information and responses, provides required privacy and disclosure materials, obtains legal and financial signatures, explains and collects patient financial obligations, and completes regulatory forms. It also supports follow-up scheduling, referrals and pre-certifications; processes patient and physician messages; posts cash; resolves account work queues; maintains medical records and recall/reschedule lists; and meets productivity and quality expectations.

Requirements

High school diploma or equivalent (GED).
Skills in clerical work, communication, customer service, and office politics and confidentiality.

Nice To Haves

At least 1 year of related work experience.

Responsibilities

Check patients in for appointments and accurately verify demographics.
Complete check-in procedures, monitor patient wait times, communicate changes to patients, and provide kiosk support where applicable.
Apply insurance-rank guidelines to assign primary, secondary, and tertiary insurance and interpret insurance responses.
Provide required disclosure and privacy information and obtain legal and financial signatures.
Communicate patients’ financial obligations and collect fees at the time of service as appropriate.
Explain and complete required regulatory forms with patients.
Schedule follow-up appointments, including specialty or ancillary services when possible.
Process messages through multiple channels concerning appointment, referral, prescription, and complaint requests from patients or physicians.
Notify patients or guarantors of anticipated financial responsibility, including copays, deductibles, and coinsurance, and collect payment as appropriate.
Post cash according to department guidelines.
Independently work account queues to ensure timely resolution.
Maintain productivity and quality performance expectations.
Maintain medical records and process releases accurately.
Assist with referrals and pre-certifications at the time of the encounter.
Use and maintain patient recall and reschedule lists.

Benefits

Full 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 and a health savings account.
Company-paid life insurance and short- and long-term disability coverage.
401(k) plan with automatic Geisinger contributions.
Paid time off plan that allows employees to accrue time quickly.
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, including referrals for childcare, eldercare, and pet care; 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.