Patient Access Representative

Job Title

Revenue Cycle

Job Description

Full time (40 hours weekly) Monday 11:30a-8:00p Tuesday 8:30a-5:00p Wednesday 8:30a-5:00p Thursday 8:30a-5:00p Friday 8:30a-5:00p

General Summary

Works under direct supervision. Represents the System in a professional manner, using good customer service practices in the performance of their duties.

Responsibilities

Duties and Responsibilities Essential Functions:

• Conducts patient interview to collect accurate financial, biographic and demographic information for patient visits.
• Explains financial requirements to the patient or responsible party and collects deposits or deductibles as required. Explains insurance coverages and requirements for precertification/preauthorization, as applicable.
• Collects and reviews registrations to ensure accurate financial and demographic information has been obtained and properly entered into appropriate information systems.
• Schedules patient appointments for patients with other provider offices including correct processing of necessary referral forms, pre-authorization forms, test instructions, patient benefit verification and transfer of patient information.
• Performs various duties for effective check-in and check-out of patients. Receives payment from patients via the kiosk, manually when applicable and issues receipts when requested.
• Reviews and completes pre-arrival, in-basket messages and other work queues as assigned.
• Reconciles daily cash and verified account balances. Performs other tasks related to end of day batch control, cash drawer etc.
• Researches billing questions and problems for patients with billing service.
• Actively supports process flow improvement and provides constructive feedback to Supervisor.
• Assists with service recovery.
• Must have the ability to travel and work at other medical practices as needed.

Common Expectations:

• Types and/or compiles correspondence and reports, photocopies information, files information, answers the telephone, takes messages and directs calls.
• Prepares and maintains records of patient charges.
• Maintains department records, reports and files.
• Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.
• Participates in educational programs and in-service meetings.
• Provides outstanding service to all customers, fosters teamwork, and practices fiscal responsibility through improvement and innovation.
• Proactively approach and greet all guests with a warm and personal greeting.

Qualifications

Qualifications Minimum Education:

• High School Diploma or GED Required
• Diploma Program Post High School Vocational/Specialized Training (Professional Medical, Administrative or Business School) Preferred

Work Experience:

• Less than 1 year 3 - 6 months front desk or physician office experience Required

Courses and Training:

• Customer Service and Safety Reporting Training within 90 days Required and
• Introduction to Medical terminology within 180 days Required and
• Insurance and Compliance Training within 1 year Required

Knowledge, Skills, and Abilities:

• Excellent communication and interpersonal skills.
• Knowledge of medical office operations to include reception, billing and insurance and general office skills.
• Computer skills.

Benefits Offered:

• Comprehensive health benefits
• Retirement savings plan
• Paid time off (PTO)
• Education assistance
• Financial education and support, including DailyPay
• Expanded Paid Parental Leave

About Us

WellSpan Health's vision is to reimagine healthcare through the delivery of comprehensive, equitable health and wellness solutions throughout our continuum of care. As an integrated delivery system focused on leading in value-based care, we encompass more than 2,300 employed providers, 250 locations, nine award-winning hospitals, home care and a behavioral health organization serving central Pennsylvania and northern Maryland. Our high-performing Medicare Accountable Care Organization (ACO) is the region's largest and one of the best in the nation. With a team 23,000 strong, WellSpan experts provide a range of services, from wellness and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians and advanced practice providers is dedicated to providing the highest quality and safety, inspiring our patients and communities to be their healthiest.