Patient Access Representative - Behavioral Health

KETCHIKAN INDIAN CORPORATION•Ketchikan, AK

12h•Onsite

About The Position

The Patient Access Representative (PAR) is the first Behavioral Health services impression to provide patient interaction at the beginning and end of each visit. Incumbent will assist in care coordination between the patient and department staff by scheduling patients, verifying insurance / eligibility, enrolling patients in the information portal, completing reminder calls, and assisting in obtaining important information concerning the transmission of disease prior to arrival in the clinic. Assists with department coverage as needed and performs other related duties as assigned. The PAR works directly with the patient assisting, updating, and utilizing alternate resources. Completes pre-registers / registers patient with accurate patient demographic and financial data. Upon registration, address co-insurance for scheduled appointment/procedure, etc. Verifies coverage and ensures all insurance requirements are met, as well as assistance with prior authorization as appropriate prior to patient arrival. Manages daily appointment schedules which may include reminder calls and calling all referrals. May transport patients utilizing escort or wheeled transport equipment; Greets patients and visitors, in person or on the telephone. Provide directional assistance for those accessing the clinic and observing patients waiting in the lobby for any distress signs. Connects telephone calls to requested individual in a rapid, accurate, and professional manner. Answers or refers inquiries to the appropriate department or individual. Effectively managing conflict in an understanding and professional manner. Approach all tasks using excellence in customer service and the use of good interpersonal skills. Adheres to safety procedure, remains vigilant and informs security of any unusual activity. Completes safety modules and performs duties as delegated during an emergency. Ensures HIPAA compliance.

Requirements

High school diploma or GED required.
Knowledge of customer service concepts and practice.
Knowledge of basic medical terminology and clinic systems.
Knowledge of insurance processes and regulations.
Knowledge and ability to carry out rules of Health Insurance Portability and Accountability Act (HIPAA).
Skill in operating a personal computer utilizing a variety of software applications.
Skill in oral and written communication.
Skill in establishing and maintaining cooperative working relationships with other employees.
Skill in reviewing, researching, processing, and troubleshooting difficult matters.
Ability to exercise mature judgment in evaluating specific situations and recommending solutions.
Possess current valid State of Alaska driver's license with a record acceptable to KIC’s Insurance carrier.

Nice To Haves

Knowledge of CPT / ICD coding preferred.
Two (2) years customer service, registration processing, medical office or computer database experience preferred.
Progressive responsible administrative/management work that indicates ability to acquire the particular knowledge and skills needed to perform duties of this position.

Responsibilities

Provide patient interaction at the beginning and end of each visit.
Assist in care coordination between the patient and department staff.
Schedule patients.
Verify insurance / eligibility.
Enroll patients in the information portal.
Complete reminder calls.
Assist in obtaining important information concerning the transmission of disease prior to arrival in the clinic.
Assist with department coverage as needed.
Perform other related duties as assigned.
Work directly with the patient assisting, updating, and utilizing alternate resources.
Complete pre-registers / registers patient with accurate patient demographic and financial data.
Address co-insurance for scheduled appointment/procedure upon registration.
Verify coverage and ensure all insurance requirements are met.
Assist with prior authorization as appropriate prior to patient arrival.
Manage daily appointment schedules which may include reminder calls and calling all referrals.
May transport patients utilizing escort or wheeled transport equipment.
Greet patients and visitors, in person or on the telephone.
Provide directional assistance for those accessing the clinic and observing patients waiting in the lobby for any distress signs.
Connect telephone calls to requested individual in a rapid, accurate, and professional manner.
Answer or refer inquiries to the appropriate department or individual.
Effectively manage conflict in an understanding and professional manner.
Approach all tasks using excellence in customer service and the use of good interpersonal skills.
Adhere to safety procedure, remain vigilant and inform security of any unusual activity.
Complete safety modules and perform duties as delegated during an emergency.
Ensure HIPAA compliance.