PATIENT ACCESS REPRESENTATIVE

Overview

The Patient Access Representative is responsible for providing efficient and courteous service to patients for registration and scheduling within established policies and procedures; is responsible for promptly greeting patients and visitors and assisting in directing the flow; is responsible for posting accounts daily.

Responsibilities

Greets patients courteously, determines their needs, and offers assistance.

Registers patient by performing necessary procedures such as preparation of records, reports, notices, service charge slips, and payor information.

Interviews patients, relatives, or others responsible to determine payment arrangements and refers unusual cases to immediate supervisor.

May assist self-pay patients in making suitable arrangements for balances due beyond initial deposits or third-party payments.

Answers inquiries to patient accounts and advises patient on insurance benefits.

Receives all payments and deposits, issues receipts for all monies received and, otherwise, makes proper accounting for all funds received.

Posts charges daily to proper patient accounts.

Posts payments to accounts daily.

Contacts insurance carriers/agencies to obtain precertification of ancillary, admission and surgical procedures.

May transport patients in wheelchairs.

Operates various office equipment to include copiers, fax machines and other equipment as assigned.

Operates communication systems, placing and answering telephone calls, paging or contacting staff and maintaining appropriate records.

May serve as general receptionist for Clinic supplying non-technical information regarding the Clinic or refer questions to proper person.

Makes and maintains appointment schedules for Clinic Physicians.

May secure required signatures on reports and records relative to release of information according to policies of the Clinic.

May assist physicians and nursing personnel as required.

Contacts patients, physicians, or others for information necessary to properly complete insurance or other type billings.

Maintains sufficient files according to established procedures for efficient operation of the Clinic including patient charts.

Compiles periodic and statistical reports and other data as directed.

Maintains work area in a clean and safe manner.

Qualifications

High School Diploma or GED equivalent (preferably with commercial courses, e.g., filing, office methods, business English).

Must possess basic computer skills in Word and Excel.

Knowledgeable of medical terminology, CPT coding and ICD-10 coding.

Must type 30 words per minute accurately, operate various office machines, and possess general knowledge of clerical and business procedures.

Must be well organized and function well under stressful conditions.

Three (3) to six (6) months on-the-job training is required to attain proficiency of performance of assigned duties and responsibilities.