Patient Access Representative

Guidehouse•Lewisville, TX
•Hybrid

About The Position

This position will be on a hybrid schedule working two days in the Lewisville, TX office and three days from home. The Patient Access Representative will be responsible for toggling multiple systems & applications, remote patient registration, census reconciliation, patient identification/demographic updates, insurance verification, identifying and holding encounters pending follow up, resolving unbilled encounters, and electronic communications with providers and for medical record requests. The role also involves attending team daily huddles to receive and provide process report performance outcomes and participating in performance/productivity discussions during daily/weekly huddles via MS Teams.

Requirements

  • High School Diploma/GED or 3 years of relevant equivalent in lieu of diploma/GED
  • 0-2+ years relevant experience in healthcare with knowledge of billing and collections, medical insurance claims procedures and documentation, patient care charts and histories, patient registration procedures and documentation.

Nice To Haves

  • Familiar with Insurance payer portal
  • Realtime Insurance eligibility verifications
  • Knowledge of Health Insurance plans, HMO, PPO, Manage Care and Replace plan coverage

Responsibilities

  • Toggling multiple systems & applications
  • Remote patient registration
  • Census Reconciliation- Hospital vs. Patient registration data
  • Patient Identification/Demographic updates
  • Insurance verification, mapping correct plan codes to insurance types
  • Hold codes- Identify and Hold encounters pending follow up
  • Resolving Unbilled encounters
  • Electronic communications- Provider, Medical Record request
  • Attend team daily huddles; to received and provide process report performance outcomes
  • Performance/Productivity- Daily/Weekly huddles MS Teams

Benefits

  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time & Company Paid Holidays
  • Position may be eligible for a discretionary variable incentive bonus
  • Parental Leave
  • 401(k) Retirement Plan
  • Basic Life & Supplemental Life
  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
  • Short-Term & Long-Term Disability
  • Tuition Reimbursement, Personal Development & Learning Opportunities
  • Skills Development & Certifications
  • Employee Referral Program
  • Corporate Sponsored Events & Community Outreach
  • Emergency Back-Up Childcare Program
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