Patient Access Representative - Community Care
About The Position
The Patient Access Representative provides front-line support to the department by coordinating and performing office activities effectively and efficiently. The role greets and registers incoming patients, supports patient checkout, and schedules future appointments as applicable. The position checks patients in, verifies demographics and insurance information, completes required disclosures and regulatory forms, obtains legal and financial signatures, communicates financial obligations, and collects payments when appropriate. It also supports follow-up scheduling, referrals and pre-certifications, patient communications, medical-record maintenance and releases, and timely resolution of account work queues. The representative follows organizational and HIPAA requirements, protects patient confidentiality, and meets productivity and quality expectations. The work is typically performed in an office environment. This is a full-time, 40-hour-per-week position on the day shift at Community Care Hazleton.
Requirements
- High school diploma or equivalent (GED).
- Minimum of 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.
- Ensure check-in procedures are completed, monitor wait times, and communicate changes to patients.
- Read and interpret insurance responses and assign primary, secondary, and tertiary insurance appropriately according to guidelines.
- Provide required disclosures and privacy information and obtain legal and financial signatures.
- Explain financial obligations, notify patients or guarantors of anticipated responsibility, and collect fees when appropriate.
- Explain and complete required regulatory forms with patients.
- Schedule follow-up appointments, including specialty or ancillary services when possible.
- Process patient- and physician-related messages concerning appointments, referrals, prescriptions, and complaints.
- Perform cash posting according to department guidelines.
- Follow organizational and HIPAA guidelines, privacy practices, patient confidentiality requirements, and patient rights.
- Work independently on work queues to ensure timely account resolution.
- Meet productivity and quality performance expectations while maintaining confidentiality.
- Maintain medical records and process releases 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, with three medical plan choices.
- 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 accrual.
- Tuition reimbursement up to $5,000 per calendar year.
- MyHealth Rewards wellness program with a financial incentive.
- Adoption and fertility assistance, parental leave pay, military leave pay, and discounted backup care through a Care.com membership.
- Employee Assistance Program with referrals and support for childcare, eldercare, pet care, legal guidance, mental health, and work-life needs.
- Voluntary benefits including accident, critical illness, hospital indemnity, identity theft protection, universal life, pet, and legal insurance.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
