Patient Access Representative

Sanford Health•Wausau, WI

12d•$16 - $23

About The Position

The Patient Access Representative (PAR) performs patient registration, scheduling, or both, depending on the location and setting, along with other assigned duties. In registration, the PAR greets patients, verifies demographic information, completes registration and scheduling tasks, handles related paperwork, creates electronic files, and provides, scans, and routes forms. The PAR explains paperwork and obtains signatures, establishes financial responsibility or assists with payment arrangements, and collects co-payments, pre-payments, and account-balance payments. The role may also address registration work-queue issues, denied insurance claims, and registration database maintenance. In scheduling, the PAR books appointments and procedures, obtains and coordinates referrals, conducts pre-authorizations, arranges interpreter services, checks patients in and out, and offers enrollment in additional resources. The PAR works with nursing teams and providers to coordinate appointments and may coordinate provider schedules, resolve work-queue issues, and manage recalls and waitlists. Depending on the setting, additional duties may include chart preparation, financial assistance, prior authorization, visit tracking, account information management, reporting, assessment administration, Telemed coordination, provider and schedule maintenance, billing and charge verification, appointment reminders, hospital admissions, faxing, copying, and ordering supplies. The representative mentors new PARs and other staff, maintains confidentiality, and contributes to a respectful, cooperative team environment while providing empathetic customer service.

Requirements

One year of work experience, preferably in a medical office setting.
Customer service skills are essential; six months of customer service experience is desired.
Ability to provide empathetic customer service and communicate professionally in writing.
Working knowledge of medical terminology.
Ability to work independently and as part of a team.
High school diploma or equivalent preferred.
BLS may be required for certain locations or settings.

Nice To Haves

Post-secondary education is helpful.
Medical office experience is preferred.
Medical terminology is helpful.
Six months of customer service experience is desired.
BLS may be required for certain locations or settings.

Responsibilities

Greet patients and verify demographic information for accurate registration and/or scheduling.
Complete registration paperwork, create electronic files, and provide, scan, and route forms and documents.
Explain necessary paperwork to patients and obtain their signatures.
Establish financial responsibility, assist with payment arrangements, and collect co-payments, pre-payments, and account-balance payments.
Address registration work-queue issues, denied insurance claims, and registration database maintenance, as applicable.
Schedule appointments and procedures; obtain and coordinate referrals; conduct pre-authorizations; and arrange interpreter services.
Check patients in and out and offer enrollment in additional resources.
Collaborate with nursing teams and providers to coordinate appointments around patient needs.
Coordinate provider schedules and manage work-queue issues, recalls, and waitlists, as applicable.
Perform additional setting-dependent duties such as chart preparation, financial assistance, visit tracking, account information management, reporting, assessment administration, Telemed coordination, billing, appointment reminders, hospital admissions, faxing, copying, and ordering supplies.
Mentor new Patient Access Representatives and other staff.
Maintain confidentiality and promote professionalism, mutual respect, and cooperation.
Work both independently and as part of a team, frequently taking direction from the nursing team.