Patient Access Representative - Specialty Clinics

Geisinger•Wilkes-Barre, PA
•Onsite

About The Position

The Patient Access Representative provides front-line support to the Specialty Clinics department by coordinating and completing office activities efficiently. The role greets and registers patients, supports check-out, schedules follow-up appointments, and assists with referrals and pre-certifications. It also processes patient and physician requests, maintains medical records, and resolves account work queues while following organizational policies, HIPAA requirements, privacy practices, confidentiality standards, and patient rights. The position is based at the Geisinger Wyoming Valley Outpatient Specialty Center and is scheduled for 40 hours per week on the day shift.

Requirements

  • High school diploma or equivalent (GED).
  • At least 1 year of related work experience is preferred.
  • Skills in clerical work, communication, customer service, and office politics and confidentiality.

Nice To Haves

  • At least 1 year of related work experience.

Responsibilities

  • Check patients in for appointments and accurately verify demographics.
  • Complete check-in procedures, monitor patient wait times, and communicate changes to patients.
  • Read and interpret insurance responses and assign primary, secondary, and tertiary insurance according to guidelines.
  • Provide required disclosures and privacy information and obtain legal and financial signatures.
  • Explain financial obligations and collect appropriate fees at the time of service.
  • Explain and complete required regulatory forms with patients.
  • Schedule necessary follow-up appointments, including specialty or ancillary services when possible.
  • Process multi-channel messages regarding appointments, referrals, prescriptions, and complaints.
  • Notify patients or guarantors of anticipated financial responsibility, including copays, deductibles, and coinsurance, and collect amounts due.
  • Post cash according to department guidelines.
  • Follow organizational policies, HIPAA guidelines, privacy practices, confidentiality requirements, and patient rights.
  • Independently work queues to ensure timely account resolution.
  • Meet productivity and quality performance expectations.
  • Maintain confidentiality.
  • Maintain and release medical records accurately.
  • Assist with referrals and pre-certifications at the time of encounter.
  • Maintain patient recall and reschedule lists.

Benefits

  • Health, dental, and vision benefits starting on day one.
  • Three medical plan choices, including an expanded network for out-of-area employees and dependents.
  • Pre-tax healthcare and dependent-care flexible spending accounts and a health savings account.
  • Company-paid life insurance and short- and long-term disability coverage.
  • 401(k) plan with automatic Geisinger contributions.
  • Paid time off plan with rapid accrual.
  • Up to $5,000 in tuition reimbursement per calendar year.
  • MyHealth Rewards wellness program with a financial incentive.
  • Adoption and fertility assistance, parental leave pay, military leave pay, and a free Care.com membership with discounted backup care.
  • Employee Assistance Program with referrals for childcare, eldercare, and pet care; legal guidance; mental health visits; work-life support; and digital self-help tools.
  • Voluntary accident, critical illness, hospital indemnity, identity theft protection, universal life, pet, and legal insurance.
  • Healthcare benefits for full-time and part-time positions from day one, including coverage for domestic partners.
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