Patient Access Representative | Behavioral Health | 40 hrs/week

Sanford Health•Marshfield, WI

21h

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 registrations and related paperwork, creates electronic files, and provides, scans, and routes documents. The PAR explains paperwork and obtains signatures, establishes financial responsibility or assists with payment arrangements, and collects co-payments, pre-payments, and account balances. The role may also involve working registration queues, resolving errors and denied insurance claims, and maintaining registration data. In scheduling, the PAR arranges appointments and procedures, coordinates referrals, conducts pre-authorization, arranges interpreter services, checks patients in and out, and offers enrollment in additional resources. The PAR works with nursing staff and providers to coordinate appointments and may maintain provider schedules, resolve queue issues, and manage recall lists and waitlists. Depending on the setting, the role may also involve chart and document preparation, financial assistance, prior authorization, visit tracking, account health information management, reporting, assessments, Telemed coordination, charge entry and verification, appointment reminders, hospital admissions, telephone and switchboard duties, copying, faxing, and ordering supplies. The PAR mentors new Patient Access Representatives and other staff, maintains confidentiality, and promotes professionalism, respect, and cooperation. The role requires working both independently and as part of a team, often taking direction from the nursing team, and providing empathetic customer service. A working knowledge of medical terminology and professional written communication are needed.

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.
Working knowledge of medical terminology and professional written communication.
May require BLS certification for certain locations or settings.

Nice To Haves

High school diploma or equivalent preferred.
Post-secondary education helpful.
Medical terminology helpful.

Responsibilities

Greet patients and verify demographic information for accurate registration and scheduling.
Complete registration paperwork, create electronic files, and provide, scan, and route forms and documents.
Educate patients about necessary paperwork and obtain signatures.
Establish financial responsibility, assist with arrangements, and collect co-payments, pre-payments, and account payments.
Work registration queues and address registration errors, denied insurance claims, and database maintenance.
Schedule appointments and procedures; obtain and coordinate referrals; conduct pre-authorization; and arrange interpreter services.
Check patients in and out and offer enrollment in additional resources.
Coordinate appointments with nursing staff and providers; maintain provider schedules and manage recalls and waitlists as applicable.
Perform additional setting-specific duties, which may include chart preparation, financial assistance, prior authorization, visit tracking, account management, reporting, assessments, Telemed coordination, charge entry and verification, reminder calls, admissions, telephone or switchboard operation, copying, faxing, and ordering supplies.
Mentor new Patient Access Representatives and other staff.
Maintain confidentiality and promote professionalism, mutual respect, and cooperation.
Provide empathetic customer service and work independently and as part of a team.