Patient Access Representative - Physical Therapy - Full-time

AVALA•Covington, LA

About The Position

Summary Under the supervision of the Director of Hand Therapy, the Patient Access Rep is responsible for obtaining accurate patient demographics and insurance information during the patient interview process; the process includes in-person, and phone interviews, corrects information as needed. Assists Patient Access Rep/Verification with obtaining prior authorization and tracking therapy caps to avoid denials. Processes the registration including obtaining the patients signature on the Authorization for Treatment, Advanced Beneficiary Notice (ABN) and completing the Medicare Secondary Payer (MSP) questionnaire. Scans all necessary documentation into Cerner. Collects co-payments, estimated co-insurance and deductibles, which includes phone calls to patients to discuss financial responsibility prior to service as well as collecting at time of service. Answers incoming phone calls and assist caller as needed. And any other duties assigned by Director of Hand Therapy. Essential Duties and Responsibilities Registration Front Desk Able to handle heavy phone volumes, ensures that callers are transferred to the appropriate department and or person. Answers calls in a timely manner; identifies department and self when answering the telephone. Able to handle all codes and stat calls proficiently. Handles ALL medical records for Physical/Occupational Therapy Office. Handles ALL patient chart preparation, ensuring that all packets are accurate Scans patient documents from the Therapist, Doctor, and/or Insurance into patient’s charts. Handles all scheduling and rescheduling for Physical Therapy Office, including ALL physical and occupational new and recurring appointments. Post payments to patient’s accounts. Fax Plan of Care to Doctor Offices for approvals on extensions of patient’s visits. Assists with obtaining prior authorization and tracks therapy caps to avoid denials. Verifies insurance and benefits coverage on ALL physical and occupational therapy patients prior to their appointment. Verifies that patient demographic information is accurate and ensures that insurance cards, consents and other admission documents are complete and in order. Makes a copy of these cards and scans into Cerner. Ability to explain required forms to the patient in detail, i.e.: Authorization for Treatment, Advanced Beneficiary Notice (ABN), Medicare Secondary Payer (MSP) questionnaire. Obtains required signatures as needed. As part of the pre-registration process, contacts patient to verify demographic information, insurance information, and MSP questionnaire. Informs patients of estimated balance due and collects monies due at time of service. Demonstrates knowledge of all features and functions of Cerner scheduling, accounts, and documentation). Notifies appropriate staff regarding any issues or concerns in a timely manner. Other duties as assigned by the Director of Hand Therapy or COO. Other Font Office duties/responsibilities: Maintains cleanliness and order in Therapy Front Office and Lobby/Reception waiting area, including emptying trash can if necessary. Prepares coffee each morning and each afternoon for Lobby/Reception waiting room. Keeps coffee supplies stocked and coffee area clean, using Cavi wipes for sanitation as necessary. Maintains all aspects of lobby/reception waiting area is the appropriate temperature and is comfortable for patients.

Requirements

High school diploma
Ability to communicate effectively in English, both verbally and in writing
Basic computer knowledge

Nice To Haves

Two (2) or more years’ experience with Medical Front Desk Preferred.

Responsibilities

Obtaining accurate patient demographics and insurance information during the patient interview process
Assisting with obtaining prior authorization and tracking therapy caps to avoid denials
Processing the registration including obtaining the patients signature on the Authorization for Treatment, Advanced Beneficiary Notice (ABN) and completing the Medicare Secondary Payer (MSP) questionnaire
Scanning all necessary documentation into Cerner
Collecting co-payments, estimated co-insurance and deductibles
Answering incoming phone calls and assist caller as needed
Handling heavy phone volumes, ensures that callers are transferred to the appropriate department and or person
Handling ALL medical records for Physical/Occupational Therapy Office
Handling ALL patient chart preparation, ensuring that all packets are accurate
Scanning patient documents from the Therapist, Doctor, and/or Insurance into patient’s charts
Handling all scheduling and rescheduling for Physical Therapy Office, including ALL physical and occupational new and recurring appointments
Posting payments to patient’s accounts
Faxing Plan of Care to Doctor Offices for approvals on extensions of patient’s visits
Verifying insurance and benefits coverage on ALL physical and occupational therapy patients prior to their appointment
Verifying that patient demographic information is accurate and ensures that insurance cards, consents and other admission documents are complete and in order
Making a copy of these cards and scans into Cerner
Explaining required forms to the patient in detail, i.e.: Authorization for Treatment, Advanced Beneficiary Notice (ABN), Medicare Secondary Payer (MSP) questionnaire
Obtaining required signatures as needed
Contacting patient to verify demographic information, insurance information, and MSP questionnaire
Informing patients of estimated balance due and collects monies due at time of service
Demonstrating knowledge of all features and functions of Cerner scheduling, accounts, and documentation
Notifying appropriate staff regarding any issues or concerns in a timely manner
Maintaining cleanliness and order in Therapy Front Office and Lobby/Reception waiting area
Preparing coffee each morning and each afternoon for Lobby/Reception waiting room
Keeping coffee supplies stocked and coffee area clean, using Cavi wipes for sanitation as necessary
Maintaining all aspects of lobby/reception waiting area is the appropriate temperature and is comfortable for patients
Other duties as assigned by the Director of Hand Therapy or COO