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The Patient Access Representative welcomes patients, families, physician and visitors to the Center either in person or over the phone. The general duties include pre-registration and registration of patients(i.e. enter insurance and demographic information into HIS system plus produce registration and consent forms), receiving and directing incoming calls, distribution of mail, and assisting the business office as necessary. Assembles all patient charts, notifies patient of copay responsibility, and offers directions to the center. Other duties could include completing the daily payment log and verification of benefits along with other assigned duties.
This position will be working at our front desk, checking in patients prior to surgery, collecting payments, calling day prior for surgery times, and back-up for scheduling and insurance verification.
Position Description:
- Balance out at the end of day and perform necessary End of Day process for the center.
- Pull patient charts for the next day's appointments by the end of the current day.
- File all charts by the end of the day.
- Open and distribute all incoming mail and packages in accordance with policies and
- Maintain a neat and orderly workspace and an adequate supply of charts, forms and tools to perform the job.
- Maintain strictest confidentially of all information related to medical records, communication between staff and the patient as well as any events surrounding the patients' treatment.
- Perform all other duties as assigned.
Primary Responsibilities:
- Ensure overall total customer satisfaction.
- Greet patients in a courteous and professional manner.
- Answer all incoming calls in a courteous and professional manner.
- Respond to the patients' needs or direct them to the appropriate person for assistance.
- Take detailed messages and confirm the appropriate people receive them.
- Obtain overall operational knowledge of the center in order to assist in the triage process.
- Have insurance knowledge, i.e., be aware that HMO patients need a referral for each visit and which insurances the center accepts.
- Ensure that patients' needs are handled in a timely and efficient manner.
- Ensure that benefit verification and pre-certification is completed for each scheduled
- Schedule patients into the billing system immediately upon receipt of the information from the surgeon offices.
- Prepare new chart including a copy of the insurance card(s), demographic information
sheet, any referrals and obtain any signatures on center required paper work. - Established patients - verify demographic and insurance information at each visit.
- Have knowledge of CPT-4 and ICD-9 coding, as well as the changing Medicare and Medicaid regulations and guidelines.
- On the day of surgery, enter patient charges, payments and approved discounts into the billing system.
- Collect unmet deductibles, coinsurance, co-payments and outstanding past due patient balances on the day of surgery.
- Ensure that paperwork processing is confidential, efficient and timely.