AccessHealth

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Patient Access Representative

Summary

Responsible for confirming demographics, verifying insurance, scheduling appointments, and collecting payments while providing customer service and managing provider schedules to build patient rapport.

JOB TITLE: Patient Access Representative

DEPARTMENT: Patient Access

REPORTS TO: Patient Access Director

FLSA STATUS: Non-Exempt (Part-Time)

SUPERVISES STAFF: No

BLOODBORNE PATHOGENS EXPOSURE: Classification 1

JOB SUMMARY: The Patient Access Representative will be responsible for confirming demographic information, insurance verification, scheduling appointments, collecting payments and providing excellent customer service at all times. The Patient Access Representative will also be responsible for the management and efficiency of Provider schedules; working closely with clinical staff and ancillary departments within the healthcare center. The Patient Access Representative will lead the organization in building trust, comfort and rapport with patients and potential patients.

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:

  1. Schedules patient appointments and enters required information in the computer system in an accurate and timely manner.
  2. Obtains demographic, insurance and financial information from patient or guarantor. Enters information in computer system efficiently.
  3. Explains all required forms to the patient or guarantor and obtains the necessary signatures.
  4. Ensures medical necessity compliance by obtaining necessary data and communicating information to patient or guarantor.
  5. Protects the financial integrity of the facility by collecting patient liability, establishing payment arrangements, discussing payment options and screening for eligibility.
  6. Verifies insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes.
  7. Posts payments in the computer system and generates the appropriate patient receipts.
  8. Monitor reviews and resolves patient account issues on assigned reports.
  9. Communicates in an effective and professional manner with Physicians, ancillary departments, nursing staff, physicians' office staff, insurance companies, as well as patients and their families (all Patient Access customers). Completes thorough and accurate documentation.
  10. Meeting metrics and completing reports as assigned.
  11. Participate in projects and meetings, and complete other tasks assigned by management.

Show
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