PATIENT SERVICE-ACCESS REPRESENTATIVE- ORTHO

Johnson Memorial Hospital•Franklin, IN

6d•Onsite

About The Position

This role is responsible for scheduling testing and procedure visits for patients, obtaining necessary information and data, including completing prior authorizations for tests and procedures, and assisting with medication prior authorizations. The representative will also scan verification sheets, PA referrals, prior authorizations, and other referrals from insurance companies, ensuring timely scanning into the patient chart. They will work with insurance verification websites and make phone calls to verify coverage for tests, procedures, and medications. Additionally, the role involves performing routine administrative and clerical tasks to ensure smooth office operations, such as greeting patients, completing check-ins, answering phones, maintaining schedules and reports, typing correspondence, and managing department files. The position also assists with coordinating daily office operations, including ordering supplies and ensuring efficient patient flow, initiating patient referral processes, participating in performance improvement initiatives, maintaining confidentiality, and participating in ongoing training. All activities must comply with applicable laws, regulations, standards, and JMH policies, including Blood and Body Substance Precautions. The role also requires clear communication and continuous support of the Mission and Values of JMH.

Requirements

High school diploma or equivalent required.
Previous experience with scheduling, coding or medical billing preferred.
Previous experience in a medical office preferred.

Responsibilities

Schedules testing and procedures visits for patients according to what is ordered for the patient.
Obtains all requested information/data, including completing prior authorizations for these tests, and procedures.
Assists with getting medication prior authorizations (PA) as needed.
Scans verification sheets, PA referrals, prior authorizations and other referrals received from insurance companies.
Ensures that all testing, procedures, and medication that have required prior authorizations have the documentation scanned into the chart in a timely manner.
Works with insurance verification websites and makes phone calls to verify coverage for testing, procedures, and medications.
Performs a variety of routine administrative and clerical tasks to ensure the smooth and efficient operations of the office including but not limited to: Greeting patients and completing "check - in" process including verification of patient demographics and insurance/payment information; Answering phone calls, directing calls appropriately and transmitting messages; and Maintaining patient schedules & patient reports, typing correspondence, and maintaining department files.
Assists with the coordination of daily office operations including but not limited to: Ordering supplies; Ensuring timely and efficient patient flow.
Initiates patient referral process to other providers.
Participates in performance improvement initiatives and supports organizational strategic goals.
Maintains confidentiality of patient, employee, and business information.
Participates in on-going training and attends required educational programs.
Performs other related duties as assigned.
Clearly communicates and continuously supports the Mission and Values of JMH.
Conducts all activities in comp1iance with applicable laws, regulations, standards and JMH policies and procedures including Blood and Body Substance Precautions.