Patient Access Representative - Emergency Department

Geisinger•Wilkes-Barre, PA

1d•Onsite

About The Position

This position is responsible for providing front-line support to the Emergency Department, coordinating and performing office activities efficiently. Key duties include greeting and registering incoming patients, supporting the patient check-out process, and scheduling future appointments. The role involves accurately verifying patient demographics, interpreting insurance responses, assigning primary, secondary, and tertiary insurance, and ensuring compliance with disclosure and privacy information. The representative obtains necessary legal and financial signatures, communicates financial obligations, and collects fees at the time of service. They are also responsible for completing regulatory forms, scheduling follow-up appointments, processing multi-channel messages related to patient and physician requests, notifying patients of financial responsibility, and performing cash posting. Adherence to organizational and HIPAA guidelines, patient confidentiality, and patient rights is crucial. The role requires independently managing work queues for timely account resolution and maintaining productivity and quality performance expectations. Additionally, the representative performs medical record maintenance and releases, assists with referrals and pre-certifications, and utilizes patient recall and reschedule lists.

Requirements

High School Diploma or Equivalent (GED)
Clerical I skills
Communication skills
Customer Service skills
Office Politics And Confidentiality skills

Nice To Haves

Minimum of 1 year-Related work experience

Responsibilities

Responsible for checking patients in for appointments and accurately verifying demographics.
Assures all check-in procedures are completed and monitors patient wait times, communicating changes to the patient as necessary.
Reads and interprets insurance responses.
Understands general guidelines and insurance rank requirement to properly assign primary, secondary, and tertiary insurance per encounter.
Ensures patient receives necessary disclosure and privacy information, obtains necessary legal and financial signatures.
Communicates financial obligations to patients and collects fees at time of service as appropriate.
Communicates the purpose of and completes all necessary regulatory forms with patient.
Completes patient's visit by scheduling any necessary follow up appointments to include any specialty or ancillary services as possible.
Processes multi-channel messages related to patient and/or physician requests regarding: appointments, referrals, prescriptions, and complaints.
Notifies patient or guarantor of anticipated financial responsibility including copays, deductibles, or coinsurances and collects accordingly.
Performs cash posting following department guidelines.
Abides by organizational and HIPAA guidelines, privacy practices, patient confidentiality and patient rights.
Independently works work queues to ensure timely resolution of all accounts.
Maintain productivity and quality performance expectations.
Must maintain high regard for confidentiality.
Accurately performs medical record maintenance and releases.
Assists with referrals and pre-certifications, at the time of encounter.
Properly utilizes and maintains patient recall and reschedule lists.

Benefits

Full benefits (health, dental and vision) starting on day one
Three medical plan choices, including an expanded network for out-of-area employees and dependents
Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA)
Company-paid life insurance, short-term disability, and long-term disability coverage
401(k) plan that includes automatic Geisinger contributions
Generous paid time off (PTO) plan that allows you to accrue time quickly
Up to $5,000 in tuition reimbursement per calendar year
MyHealth Rewards wellness program to improve your health while earning a financial incentive
Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones
Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care. Access free legal guidance, mental health visits, work-life support, digital self-help tools and more.
Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance
Healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.