[Hiring] Patient Access Representative @FMOLHS

Role Description

Responsible for accurately registering patients in EMR including validating patient information, verification of insurance coverage, collection of required payments and ensuring the patient's experience is best in class. Relies on established guidelines to accomplish tasks. Works under close supervision.

Responsibilities

• Customer Service
  • Patients are courteously and appropriately advised of the collection and billing procedures and anticipated charges.
  • All patients/families are courteously welcomed and greeted to the clinic.
  • Questions & concerns from patients and/or family members are answered/addressed appropriately.
  • Patients are informed of their rights and Advance Directives upon request.
  • Patient and insurance information is accurately obtained and edited as necessary.
  • Accurately and efficiently registers patients in Epic; monitors and manages the flow of patients through the clinic.
  • Monitors patient schedules and reviews accounts to determine the patient's financial responsibility.
  • Assists patients with access to government and community resources.
  • Works closely with physicians, nurse practitioners and nursing staff to ensure timely referrals.
  • Facilitates the patient's access to information including MyChart access.
  • Accurately updates patient records as needed.
  • Accurately enters patient charges as necessary.
• Patient Flow
  • Documentation related to patient referrals is accurately processed at all times.
  • Patient appointments are scheduled and rescheduled appropriately.
  • A variety of clerical duties are efficiently completed in a timely manner.
  • Current patient charts/files and appropriate information are accurately filed.
• Payor Regulations
  • Claim edits and denials are researched and discrepancies resolved within 2 days of notification.
  • All information for completing the billing process is researched and discrepancies resolved within 2 days of receipt.
  • Charges are keyed and batches processed daily; bank/deposit summary is prepared immediately after balancing.
  • Diagnosis and procedures codes are reviewed for accuracy and data is entered into the system at point of service.
  • Patient payments for services rendered are verified and collected from patient 100% of the time.
  • Account balances are verified, and the outstanding balance collected from patients.
  • A general knowledge of the health plans is maintained at all times.
  • Manages cash in accordance with established policies and procedures.
  • Meets site collection goals.
• Other Duties as Assigned:
  • Act as a backup for others in the clinic as needed.
  • Actively supports clinic, hospital and health system initiatives.
  • May provide training and orientation for other Team Members when assigned.
  • Other duties as assigned.

Qualifications

• Experience: 6 months experience in a customer service/front desk role or a graduate of a front office/medical office program. Bachelor's degree may substitute for experience.
• Education: High School Diploma or Equivalent
• Special Skills: Professional demeanor, excellent customer service skills, ability to multi-task, critical thinking, demonstrated computer literacy, ability to learn and demonstrate proficiency in Epic during the introductory period.