Job Description

Patient Access Representative

SUMMARY

Under the supervision of the Clinical Supervisor, the Patient Access Representative will provide both clerical and office support services. This position involves greeting patients and guests; checking in and out patients; scheduling patients for future visits; collecting payments; insurance verification; and cross training to provide support to all front office staff.

Essential Duties

Provide excellent customer service to all patients, guests, and family members.
Create, activate, and complete the patient scheduling, clinic registration, or hospital admission process.
Ensures all required forms are completed and other paperwork/documents are gathered and accurate.
Efficiently and accurately gathers and inputs patient/guarantor demographic and financial information; explains insurance benefits and collects co-pays, deductibles and self-pay portions due.
Performs financial analysis of each case and informs patient of financial responsibility.
Balances Cash drawer daily, prepares deposit slips, and follows closing cash drawer process at the end of each shift.
Demonstrates respect and cooperation in all staff relationships, and a genuine willingness to prevent or resolve inter-personal conflicts.
Adapts behavior to the specific patient population, including but not limited to: respect for privacy, methods of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
Other related duties as required.

knowledge skills & abilities

Must have computer skills and dexterity required for data entry and retrieval of information.
Effective verbal and written communication skills and the ability to present information clearly and professionally.
Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
Strong interpersonal skills.
Must have clerical skills and exhibit technical knowledge of healthcare insurance benefits, various payor guidelines on referral and authorization processes as well as have current knowledge of Federal, State and Local billing regulations.
Skills to effectively present information and respond to questions from patients and customer, with proficiency.
Skills to solve practical problems and deal with high stress situations while maintaining a high quality of professionalism.
Good organizational, time management, and conflict resolution skills.
Excellent decision making skills; good analytical skills with a strong attention to detail are necessary.
Ability to work collaboratively with other departments.
Ability to exercise sound judgement in handling/escalating difficult situations.

EDUCATION/TRAINING/EXPERIENCE

Required – High school diploma or equivalent
Preferred – Associate’s degree
Required – One year of related hospital, clinic, medical office, business services/revenue cycle, front line registration, financial counseling, banking, hotel retail and/or customer service related experience.

physical & environmental demands

Sedentary Work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently to lift, carry, push, pull or otherwise move objects. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time.