Patient Access BH

Patient Access BH 1

Salary Range $21.22 - $31.83 Hourly Position Type Regular Full-Time Job Shift M-F 8am-5pm Category Behavioral Health

The Patient Access Representative (PAR) is the first Behavioral Health services impression to provide patient interaction at the beginning and end of each visit. Incumbent will assist in care coordination between the patient and department staff by scheduling patients, verifying insurance / eligibility, enrolling patients in the information portal, completing reminder calls, and assisting in obtaining important information concerning the transmission of disease prior to arrival in the clinic.

Assists with department coverage as needed and performs other duties as assigned.

The PAR works directly with the patient assisting, updating, and utilizing alternate resources. Completes pre-registers / registers patient with accurate patient demographic and financial data. Upon registration, address co-insurance for scheduled appointment/procedure, etc. Verifies coverage and ensures all insurance requirements are met, as well as assistance with prior authorization as appropriate prior to patient arrival. Manages daily appointment schedules which may include reminder calls and calling all referrals.

May transport patients utilizing escort or wheeled transport equipment.

Greets patients and visitors, in person or on the telephone. Provide directional assistance for those accessing the clinic and observing patients waiting in the lobby for any distress signs. Connects telephone calls to requested individual in a rapid, accurate, and professional manner. Answers or refers inquiries to the appropriate department or individual. Effectively managing conflict in an understanding and professional manner.

Approach all tasks using excellence in customer service and the use of good interpersonal skills. Adheres to safety procedure, remains vigilante and informs security of any unusual activity. Completes safety modules and performs duties as delegated during an emergency. Ensures HIPAA compliance.

• Knowledge of customer service concepts and practice;
• Knowledge of basic medical terminology and clinic systems;
• Knowledge of insurance processes and regulations;
• Knowledge of CPT / ICD coding preferred;
• Knowledge and ability to carry out rules of Health Insurance Portability and Accountability Act (HIPAA), which protects patient rights;
• Skill in operating a personal computer utilizing a variety of software applications;
• Skill in oral and written communication;
• Skill in establishing and maintaining cooperative working relationships with other employees;
• Skill in reviewing, researching, processing, and troubleshooting difficult matters;
• Ability to exercise mature judgment in evaluating specific situations and recommending solutions.

Must be able to hear. Specific vision abilities include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Ability to use hands to finger, handle or operate objects tools, or controls; reach with hands and arms; climb or balance; stoop, kneel, crouch; and taste or smell. Each of the listed activities also requires standing, sitting, walking, bending, and stooping, climbing on stools and ladders, and routinely lifting and carrying items and boxes up to ten (10) pounds.

Writing by hand and using a personal computer. Long hours in front of computer screen. Traveling occasionally, to out-of-town meetings and functions.

Work is performed in a small office with limited storage, filing and workspace. People asking questions/directions frequently interrupt incumbent. Some work is performed in conference rooms and at photocopy/fax machine.

The environment involves the usual risks and stress of an office environment within an ambulatory health care facility. The employee may be exposed to communicable diseases. Safety precautions for employees such as blood drawing for screening of various diseases such as hepatitis, required immunizations, etc. are necessary. The employee is occasionally subject to verbal abuse, threats, and physical violence from angry, hostile, or disgruntled patients and/or family members.

Cultural Competency: To be respectful and responsive to the health beliefs, practices, and cultural and linguistic needs of KIC Tribal Members. Developing cultural…