Senior Patient Access Representative - Sat/Sun 3-11:30PM

Senior Patient Access Representative

The Senior Patient Access Representative will greet, schedule, meet and register patients in a friendly, courteous, and professional manner. The hours for this role are every other Saturday/Sunday - 3:00 - 11:30PM.

Duties and Responsibilities

• Answer and route telephone calls and messages
• Coordinate insurance verifications and pre-authorizations
• Maintain medical records and prepares charts/paperwork
• Work effectively with insurance companies to obtain/verify pre-certification/authorization for services
• Fax pre-certification request form to insurance company
• Maintain files and security of confidential information utilizing host system to scan and input data as per established procedures
• Verify medical insurance information and documents in scheduling/registration modules
• Accurately enter and update patient data, and other general data, into the computer system
• Patient intake; insurance verification, notification of copays/patient liability and confirmation of demographics
• Maintain account work progress, including but not limited to updating authorization logs, account referral in EMR, authorization paperwork and issue reports
• Demonstrate knowledge of varied managed care insurance and regulatory guidelines
• Monitor waiting area and communicates with clinical staff of patient readiness
• Provide assistance to hospital staff as needed
• Perform other duties as assigned
• Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

• High School Diploma or equivalent required; College degree preferred
• 1 Year Office/Clerical experience in Healthcare field required
• Ability to understand/interpret documented clinical information and relay pertinent medical/clinical information to the insurance company
• Exemplary customer service skills, including the ability to negotiate and problem-solve
• Proficiency in Microsoft Office Suite
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required
• Gracious and welcoming personality for customer service interaction

Working Conditions

• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Perform light lifting (up to 15 pounds).
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: Works in a well-lighted/ventilated office setting. Subject to frequent interruptions. Minimal occupational exposure to infectious diseases, blood borne pathogens, hazardous chemicals, noxious odors, latex, or musculoskeletal injuries. Operate Office machines properly and in accordance with Hospital safety standards. Ability to work in accordance with Hospital Safety Standards.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.