Patient Access Representative - Community Care

Geisinger•Hazleton, PA

6d•Onsite

About The Position

The Patient Access Representative provides front-line support to the Community Care department by coordinating and performing office activities efficiently. The role greets and registers patients, supports checkout, and schedules follow-up appointments. It also handles patient communications, insurance information, financial disclosures and collections, regulatory forms, referrals, pre-certifications, and medical record maintenance. The position requires maintaining confidentiality and following organizational and HIPAA requirements, while meeting productivity and quality expectations. Work is typically performed in an office environment.

Requirements

High school diploma or equivalent (GED) required.
Minimum of 1 year of related work experience preferred.
Skills in clerical work, communication, customer service, and office confidentiality.

Nice To Haves

At least 1 year of related work experience.

Responsibilities

Check patients in for appointments and accurately verify demographic information.
Complete check-in procedures, monitor patient wait times, and communicate changes to patients.
Interpret insurance responses and apply insurance ranking guidelines to assign primary, secondary, and tertiary coverage.
Provide required disclosure and privacy information and obtain legal and financial signatures.
Explain patients’ financial obligations and collect fees when appropriate.
Explain and complete required regulatory forms with patients.
Schedule follow-up appointments and specialty or ancillary services as applicable.
Process messages concerning appointments, referrals, prescriptions, and complaints from patients and physicians.
Notify patients or guarantors of anticipated financial responsibility, including copays, deductibles, and coinsurance, and collect payments as appropriate.
Post cash according to department guidelines.
Follow organizational and HIPAA policies, privacy practices, confidentiality requirements, and patient rights.
Work independently through work queues to resolve accounts in a timely manner.
Meet productivity and quality expectations.
Maintain confidentiality.
Perform medical record maintenance and releases accurately.
Assist with referrals and pre-certifications at the time of the encounter.
Use and 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.
Tuition reimbursement of up to $5,000 per calendar year.
MyHealth Rewards wellness program with a financial incentive.
Adoption and fertility assistance.
Parental leave pay and military leave pay.
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.