Senior Patient Access Representative - 11P - 7:30A

Med-Metrix•Arlington, VA

1d•Onsite

About The Position

The Senior Patient Access Representative will greet, schedule, meet and register patients in a friendly, courteous, and professional manner. This role involves managing various administrative tasks related to patient access, including insurance verification, medical record maintenance, and data entry, while ensuring compliance with HIPAA regulations.

Requirements

High School Diploma or equivalent required
1 Year Office/Clerical experience in Healthcare field required
Exemplary customer service skills, including the ability to negotiate and problem-solve
Ability to communicate using clear and well organized oral and written techniques
Strong Attention to detail
Ability to work within deadlines with frequent interruptions
Proficiency in Microsoft Office Suite
Strong interpersonal skills, ability to communicate well at all levels of the organization
Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
High level of integrity and dependability with a strong sense of urgency and results oriented
Excellent written and verbal communication skills required
Gracious and welcoming personality for customer service interaction

Nice To Haves

College degree preferred

Responsibilities

Answers and routes telephone calls and messages
Coordinates insurance verifications and pre-authorizations
Maintains medical records and prepares charts/paperwork
Works effectively with insurance companies to obtain/verify pre-certification/ authorization for services
Ability to understand/interpret documented clinical information and relay pertinent medical/clinical information to the insurance company
Faxes pre-certification request form to insurance company
Maintains files and security of confidential information utilizing host system to scan and input data as per established procedures
Verifies medical insurance information and documents in scheduling/registration modules
Accurately enters and updates patient data, and other general data, into the computer system
Patient intake; insurance verification, notification of copays/patient liability and confirmation of demographics
Maintain account work progress, including but not limited to updating authorization logs, account referral in EMR, authorization paperwork and issue reports
Demonstrates knowledge of varied managed care insurance and regulatory guidelines
Monitors waiting area and communicates with clinical staff of patient readiness
Provides assistance as needed to physicians, Department Managers, and clinical staff
Effective communication skills; clear written and oral techniques
Performs other duties as assigned
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties