Patient Access Representative

About the role

Scope

Responsible for registration and registration of patients, as well as scheduling, collections & authorizations. Functions in a comprehensive patient access role to include duties of both a PFC and a receptionist for the clinic. The employee shall demonstrate the ability to provide customer-focused service with all individuals internal and external to the clinic as well as maintain a positive work relationship with other members of the clinic staff and access team to facilitate clinical and financial patient care.

Functions

• Reception of patients to include arriving patient, collecting co-pay and deductibles due at time of service and verify authorization is obtained if applicable. Managing incoming calls to the centers.
• Scheduling. Schedules appointments, including follow-ups, diagnostics, treatments, and patient access. Coordinates scheduling patients to outside physicians and from outside physicians, ensuring that a valid authorization is obtained before scheduled services.
• Pre-Registration and registration of patients. Verification of demographics and insurance for patients; collecting payment at time of service including completion of forms to maintain compliance. Responsible for communicating with clinical staff to ensure no authorizations are missed.
• Working as a patient financial counselor as needed by advising patients of programs that we offer and directing the patient to the appropriate party such as the financial navigator for assistance.
• Other duties as assigned by manager.

Qualifications

• High School Diploma or GED.
• Minimum of 3 years' experience in medical office required.
• Knowledge of insurance benefits, authorization process and contracting also required.
• Must be able to work independently, possess strong organizational and communication skills and to adhere to established goals and deadlines.
• ICD-9/10 and CPT coding a plus.
• Medicare, Medicaid and private-payer practices and regulations.