Patient Access Rep - Clinic Referral Center
About The Position
As a Patient Access Representative, you will manage administrative duties for the patient intake process in the clinic while adhering to established guidelines. You will interact with patients in person and by phone, facilitating check-in and check-out, collecting data and payments, validating insurance, scheduling appointments, and processing referrals and authorizations. The role requires critical thinking, strong customer service, and knowledge of insurance, billing, and medical terminology to help ensure a seamless, high-quality patient intake experience. The position also performs collection functions and assists with financial payment methods. It involves interviewing patients and/or family members, collecting or negotiating point-of-service payments, and connecting patients with financial assistance programs. The representative communicates courteously and clearly with patients, guarantors, family members, clinical staff, other hospital personnel, vendors, physicians, and physicians’ office staff. The role includes explaining estimates of patients’ financial responsibility for common procedures and counseling patients about third-party coverage, financial responsibility, and billing procedures.
Requirements
- High school diploma in General Studies or GED in General Studies, upon hire.
- One year of experience, upon hire.
- Critical-thinking skills, strong customer service, and knowledge of insurance, billing, and medical terminology.
Responsibilities
- Manage administrative duties for the clinic patient intake process in accordance with established guidelines.
- Interact with patients in person and by phone to facilitate check-in and check-out.
- Collect patient data and payments, validate insurance, schedule appointments, and process referrals and authorizations.
- Perform collection functions and assist with financial payment methods.
- Interview patients and/or family members.
- Collect or negotiate point-of-service payments, or connect patients with financial assistance programs.
- Communicate information courteously, clearly, and informatively to patients, guarantors, family members, clinical staff, other hospital personnel, vendors, physicians, and physicians’ office staff.
- Provide estimates of patient responsibility for common procedures under deductible, coinsurance, and standard co-pay benefit designs, based on established charge estimates.
- Counsel patients regarding third-party coverage, financial responsibility, and billing procedures.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
