Patient Access Representative

Patient Access Representative (PAR)

Under the guidance of the Site Supervisor, the Patient Access Representative is a part of the patient's care team that coordinates services by performing patient access, registration, scheduling, patient financial counseling, insurance verification, call center support, appointment confirmation, and on-site cashiering. In addition, the PAR researches and evaluates federal, state and commercial insurance funding issues and screens patients for alternative government funding. As the first point of customer contact, the goal of the PAR is to provide exceptional customer service to patients. Therefore the PAR must demonstrate effective communication, knowledge of policies, procedures and guidelines, and ability to collect information from various sources (including patients and their families). Additionally as a part of the patient's care team, the PAR must be able to establish and maintain effective working relationships with patients, families and other internal/external customers; use computers and a variety of software; and manage multiple and sometimes competing tasks with frequent interruptions. Provide coverage at multiple locations as needed.

Minimal Qualifications/Experience & Skills:

• High School diploma or equivalent
• Experience working in a clinical setting
• Knowledge of multi-line telephone system
• Call Center experience preferred
• Bilingual Preferred
• Knowledge of Electronic Practice Management (EPM) and Electronic Health Records (EHR) systems preferred
• May require travel to support clinic coverage needs at all CCHC locations

Responsibilities:

• Assembles all data and documents required for complete patient registration, including, but not limited to pre-registration and registration functions; verifications of all insurance and authorizations.
• Enters all patient demographic information into EPM system, make sure all UDS fields are populated and sliding scale is applied to patients accounts correctly; uses other departmental applications for eligibility and authorization.
• Assess patient financial responsibility and collect deductibles and insurance balances at time of appointment.
• Ensuring correct insurance is applied at each clinic visit.
• Responsible for posting copays and patient balance payments in electronic system, batching and dropping batch/bank in secure safe daily.
• Screens and informs patients and clinical staff of CCHC's policies and procedures regarding method of payment sources for services rendered.
• Participates in team huddles, meetings or discussions/consultations to ensure appropriate coordination and communication of patient/client services.
• Obtains and documents information from patients and provides information on available funding resources; obtains funding for patients within the statues of scheduling and registration.
• Uses payer resources and websites to explore and assess eligibility and may initiate referrals to determine patient eligibility for discounted prices or charitable care.
• Works in collaboration with all areas of the revenue cycle to identify and resolve issues and/or other challenges.
• Enters fiscal data into databases and maintains fiscal records and files.
• Responds to request for information and inquiries about patient access processes, policies and/or other related information; researches and resolves customer concerns.
• As the opener you are responsible for maintaining the key in your possession at all times and making sure the clinic is open on time daily.
• As the Closer you are responsible making sure the building is secure prior to leaving the facility.
• Performs other related duties as assigned

Employee Benefits offered to Fulltime Staff:

• Blue Cross Blue Shield Medical Insurance
• Blue Cross Blue Shield Dental and Vision Insurance
• Supplemental Benefits
• Life Insurance (Provided by the company)