Patient Access Representative - Alliance

Under general supervision and according to established policies and procedures, the Patient Access Representative will be responsible for day-to-day administrative functions in support of efficient and effective patient care including patient registration, insurance verification, scanning, faxing, calculation, collection and reconciliation of copayments/co-insurance and scheduling of diagnostic and follow-up appointments.  Individual will practice exceptional customer service and answer incoming telephone calls. Communicates and coordinates information in a knowledgeable and courteous manner with staff, patients and families. Maintains confidentiality with patients, staff and guests.

 
Essential Job Responsibilities:

· Greets all patients/clients/visitors in a pleasant and professional manner, determining the purpose of the visit and directing them to appropriate person or department(s).

· Enters patient demographics and secures and scans copy of insurance card(s) and driver’s license. Provides assistance and direction to patients as needed with the completion of necessary forms.

· Confirms insurance eligibility and referral requirements and secures signatures on required forms, including but not limited to, Financial Policy, Consent for Treatment, HIPAA, etc.

· Ensures that all required referrals are secured and attached to the applicable appointment in the Practice Management system.

· Scans and indexes patient documents.

· Informs patients of clinic delays and maintains communication with the clinical area to facilitate appropriate clinic flow.

· Schedules appointments and additional diagnostic testing and consultations as directed by the provider and relays corresponding instructions to the patient.

· Explains financial requirements to the patients or responsible parties and collects copays, copayments and balances due as required.

· Promptly and professionally answers telephone calls. Routes calls and messages appropriately, offering voice mail, paging, or redirection of calls as needed.

· Facilitates patient flow and communicates delays with patients and clinical staff.

· Conduct pre-visit chart preparation, precertification and fax duties as assigned.

· Follows all clinic policies on safety and security; maintains restricted areas by safeguarding keyless entry codes and computer system passwords in strict confidentiality.

· Appropriately and courteously screens solicitors for relevance to organization needs.

· Responsible for keeping the reception and patient waiting areas clean and organized.

· Monitors medical office supplies and inventory needs and oversees and maintains office equipment.

· Assists with training activities as needed.

· Maintains accuracy and productivity levels as established by department standards.

· Performs, organizes and streamlines operational tasks to reduce the potential for errors.

· Maintains patient safety and confidentiality at all times.

· Travels as required.

· All other duties as assigned by Practice Administrator or department supervisor.

WORK EXPERIENCE

· Minimum 1-3 years of relevant medical office experience preferred. Preference given to those with Urology experience.

Skills

· Standard operation of office equipment including computers, fax machines, copiers, printers, telephones, etc…

· Ability to work in a fast-paced environment and provide exceptional customer service and phone etiquette.

· Ability to maintain effective and organized systems to ensure timely patient flow.

· Working knowledge of medical terminology, CPT-9 and ICD-10 coding and familiarity proficiency in insurance knowledge including verifications.

· Computer proficiency and prior experience with Electronic Medical Records preferred.

PHYSICAL REQUIREMENTS

Computer entry requiring dexterity.

· Adequate physical ability including bending and lifting up to 50 pounds and sufficient manual dexterity to perform the requisite healthcare services.

Education

· High school diploma or GED; some college preferred.