PATIENT SERVICE ACCESS REPRESENTATIVE - ORTHOPEDICS

Johnson Memorial Hospital•Franklin, IN

3d•Onsite

About The Position

This role is responsible for scheduling patient appointments, obtaining necessary prior authorizations for tests, procedures, and medications, and managing administrative tasks to ensure the smooth operation of the office. The position involves direct patient interaction, communication with insurance companies, and maintaining patient records. The role also supports office coordination, patient flow, and adherence to organizational goals and policies.

Requirements

High school diploma or equivalent required.

Nice To Haves

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.
Obtains all requested information/data, including completing prior authorizations for tests and procedures, and assists with medication prior authorizations.
Scans verification sheets, PA referrals, prior authorizations, and other referrals received from insurance companies.
Ensures that all testing, procedures, and medication requiring 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 including greeting patients, completing the "check-in" process, verifying demographics and insurance/payment information.
Answers phone calls, directs calls appropriately, and transmits messages.
Maintains patient schedules and patient reports, types correspondence, and maintains department files.
Assists with the coordination of daily office operations, including ordering supplies and 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 compliance with applicable laws, regulations, standards, and JMH policies and procedures, including Blood and Body Substance Precautions.