Patient Access Representative

Patient Access Representative

Location: Los Angeles CA 90033

Duration: 3+ months contract with possible extensions

Must Haves:

- Neat and polished look

- High school diploma or equivalent education

- Front office experience in a medical setting

- Reliable and consistently available for all assigned shifts

- Clean and professional appearance

- Excellent verbal and written communication skills with proficiency in English

- Strong phone etiquette and ability to build rapport with patients and staff

- Proficient computer skills and familiarity with medical terminology

- Thorough understanding of insurance types, including HMO, PPO, and government health programs

Job Description:

Provide front office support for ophthalmology multispecialty group practice including greeting patients, performing patient check-in/out processes, assuring patients are appropriately registered and insurance information is accurate. Uphold smooth patient flow throughout the front office experience to ensure efficiency and effectiveness. Demonstrate exemplary customer service. Act as a liaison between the front office and communications center.

In addition, provide administrative support including collecting patient payments, performing insurance verification, scheduling patient follow-up appointments and/or ancillary testing, obtaining records/authorizations, and creating encounter(s) in patient registration system(s).

Daily interactions with staff, supervisor, and doctors, as well as periodic meetings with senior operations manager. Incumbent is expected to work with minimal supervision; periodic and regular progress checks are performed to evaluate and adjust workload accordingly.

Acts as a patient navigator by assisting the patient with insurance related issues and assuring a patient has coverage and authorization to be seen for care. Obtains authorizations, calls for benefits, opens cases with insurance companies, counsels patients on obtaining 100% active coverage and establishes/maintains active relationships with medical groups and insurance companies. Reviews health insurance plans with patients in clinic and by telephone. Minimum Level of Expertise: Must have excellent communication skills, including the ability to speak, read and write proficient English. Must have excellent phone skills and rapport. Must be comfortable with computers and medical terminology. In depth knowledge of all insurance types, including HMO, PPO and government health programs.