Patient Access Representative - Premier Primary Care

Purpose

This position is responsible to perform all registration, scheduling, order entry and reception functions and may float to various admitting site within the health system. This position expedites and provides healthcare access through the accurate gathering of demographic, sponsorship or guardian data, insurance, clinical, financial, and statistical information from a variety of sources, i.e. patients, patient's families, physicians, physician office staff, county and/or governmental agencies, CMS, FMS, etc.

This position ensures reimbursement for services rendered through verification of insurance eligibility/benefits, obtaining insurance authorization within required time frame, identification and collection of patient financial obligation and accurate charge order entry. Serves the patient and family in such a manner as to make the admission process as comfortable and pleasant as possible.

The incumbent uses professionalism and diplomacy with interacting with patients of all ages, their families, physicians, physician office staff and other health care providers in the accurate collecting of demographic, clinical, and financial information in person or via telephone interviews. Takes an active role in decreasing accounts receivables by following established guidelines, regulations, policies and procedures during the registration process in accurately:

• Achieving Client Services (niche business/cash pay) volume growth and revenue goals through inbound sales calls, patient education, consultative sales techniques, service orientation and ongoing patient relationship management.
• Achieving Client Services patient experience goals by creating a high level service and relationship based patient experience for patients, clients, family members and clinical team. .
• Maintaining a complete and smooth flow of operations and communication between the patient, clients, clinical team and internal departments.
• Conducting new patient orientation, maintaining communications, and performing scheduling, registration and reception functions ensuring that all niche business service lines are operating efficiently and at the highest volume.

Requirements - Required and/or Preferred Name
Description Education:
Ability to read, write, speak, and understand English sufficiently to perform job duties safely and effectively. High School Diploma or GED preferred.

Experience:

Requires six months of admitting, medical claims processing, professional office experience and/or customer service experience with financial interaction. One year preferred. Experience with Windows Operating systems, SMS InVision, Internet and SMS IMS Document Imaging is also preferred. License(s):
None Certification(s):
None Computer / Typing:
Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, Teams, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.

The foregoing description is not intended to be, and should not be construed as, an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.