Patient Access Rep-Cosmetic Med Svcs

Position Purpose Under the direction of the Clinic Manager this position is responsible for performing all registration, scheduling, order entry and reception functions as well as ensuring that the facility is operating efficiently and at highest volume. This position requires knowledge of all treatments and services including cosmetic medical services, medical acupuncture, BHRT, executive physicals, etc., while maintaining efficiency and volume for the Medical Group. This position expedites and provides healthcare access through accurate gathering of demographic, sponsorship or guardian data, insurance, clinical, financial and statistical information from various sources such as patients, physicians, staff, county and/or government agencies, CMS, FMS, etc. It ensures reimbursement for services rendered by verifying insurance eligibility/benefits, obtaining authorization within required time frames, identifying and collecting patient financial obligations, accurate charge order entry, and maintaining referral information for acupuncture, plastic surgery and dermatology patients. The role coordinates appointments, supports medical staff, and participates in orientation of new team members. It completes appropriate admissions forms, obtains consents for treatments, adheres to regulatory and third‑party policies, and makes the admission process expeditious and non‑imposing. Nature and Scope The incumbent uses professionalism and diplomacy when interacting with patients of all ages, families, physicians, office staff and other health care providers to collect demographic, clinical and financial information in person or via telephone. Responsibilities include scheduling, order entry, reception functions and assisting in departmental tasks such as coordinating work schedules, maximizing provider productivity, tracking revenue, processing deposits, resolving billing inquiries, ordering supplies, inventory audits, direct mail projects, weekly events and participating in external marketing events when needed. The incumbent is familiar with medical and aesthetic practices and performs retail sales in a consultative environment, facilitating business development and marketing as directed. Takes an active role in decreasing accounts receivables by following established guidelines during the registration process: Obtaining and accurately entering demographic, clinical, financial information into the computer system. Explaining and obtaining signatures on admission, clinical and financial forms. Collecting accident information. Identifying all insurance payer sources. Identifying payer order sequences. Verifying insurance eligibility. Obtaining insurance notification. Charge order entry processing. Determining estimated cost for services rendered. Identifying and collecting patient financial obligations (co‑payments, co‑insurance, deductibles, etc.). Documenting all information collected timely and in accordance with department requirements. Explores the financial need of the patient and when appropriate refers the customer to appropriate federal, state or county assistance agencies. This position has the authority to solve problems following established company guidelines. Decisions that must be referred to a manager involve non‑routine problems that may negatively affect the organization. It can handle immediate client/patient issues when appropriate, but all incidents must be reported to the manager for final resolution. Other Skills and Responsibilities Adopts a philosophy consistent with the organization's Standard of Conducts and models these standards. Diplomatic and effectively communicates during stressful situations. Anticipates customer needs, deals with unexpected situations, establishes priorities, investigates, and adjusts performance style when necessary. Working knowledge of health care insurance; accurately documents subscriber information, determines payer order sequence, and obtains notification as required. Ensures all patient information is kept secure, meeting confidentiality compliance standards set by JCAHO and HIPAA. Knowledge of government program billing requirements. Identifies patient's financial obligation (deductible, co‑payment, co‑insurance, etc.) and follows SOPs regarding point‑of‑service collections. Performs order entry. Demonstrates above‑average computer application skills. Follows verbal and written instructions. Shows scheduling skills adaptable to a fast‑pace environment with heavy physician/office staff interaction. Flexibly adapts and responds positively to changing circumstances. Promotes a positive environment for all clients, patients and staff members. Multitasks with constant interruptions. Displays strong telephone skills, listening, responding, and facilitating. This position may qualify for an additional compensation package. This position does not provide patient care. Minimum Qualifications Education: Working‑level knowledge of the English language, including reading, writing and speaking English. Experience: One year of admitting, medical claims processing, professional office experience and/or customer service experience with financial interaction. Experience in retail sales preferred. Cosmetology certification or two (2) years equivalent experience in the aesthetics field or related area preferred. License(s): None. Certification(s): Cosmetology certification preferred. Computer / Typing: Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word; able to use the computer for online learning requirements, accessing online forms and policies, completing online benefits enrollment, etc. #J-18808-Ljbffr