Non-Clinical - Administrative - Patient Access Representative

Job Title: Receptionist and Insurance Verification Specialist Location: Luminis Health - Wound Care Center 8100 Good Luck Road Lanham, MD Position Type: Onsite Schedule: Full-Time | Monday-Friday | 8:00 AM-4:30 PM Contract: 13 weeks | Opportunity for Temp to Perm Start Date: ASAP Important Call Outs • Minimum 1 year of medical receptionist/front-office experience required. • Prior authorization experience for wound care, surgical, and/or other medical procedures is required. • Insurance verification will be a significant responsibility of this role. • Medical terminology knowledge required. • Excellent telephone etiquette and communication skills required. • Experience with Epic and/or iHEAL preferred. • Some college preferred. • This is an onsite, patient-facing position within the Wound Care Center. • Candidate must be willing to convert to permanent employment if offered. • FTE pay range is $17.50-$25.00/hour; candidate must be open to the full FTE range. Required Qualifications Education • High school diploma or equivalent required. • Some college coursework preferred, particularly in healthcare administration, business, or a related field. Experience • Minimum 1 year of medical receptionist, medical front-office, Patient Access, or closely related healthcare experience. • Experience obtaining or processing insurance pre-authorizations for wound care, surgical, and/or other medical procedures. • Experience performing insurance eligibility and benefits verification. • Experience supporting patients in a healthcare front-office or Patient Access environment. • Experience with appointment and/or medical procedure scheduling preferred. • Experience in wound care, dermatology, surgery, radiology/imaging, or another procedure-focused specialty is strongly preferred. Certifications • No certification required at time of hire. Technical Skills • Working knowledge of medical terminology. • Experience using electronic medical records and healthcare registration systems. • Epic and/or iHEAL experience preferred. • Experience with insurance verification, eligibility, and prior authorization workflows. • Experience managing electronic work queues and following up on outstanding insurance, authorization, or patient-account items. • Strong computer, data-entry, and documentation skills. • Ability to accurately enter and maintain demographic, insurance, authorization, scheduling, and patient account information. Other Requirements • Excellent telephone etiquette and strong verbal communication skills. • Strong written communication skills. • High level of attention to detail and accuracy. • Strong organizational and prioritization skills. • Ability to manage multiple responsibilities in a busy, patient-facing healthcare environment. • Professional, compassionate, and patient-centered approach to service. • Ability to work independently while collaborating effectively with clinical and administrative teams. • Comfortable communicating insurance coverage, authorization status, and patient financial responsibilities. • Ability to maintain confidentiality and handle sensitive patient information appropriately. • Business casual attire required. Key Responsibilities • Serve as a professional front-office point of contact for patients, families, visitors, providers, insurance carriers, and other healthcare partners. • Greet and assist patients and visitors courteously while supporting a positive patient experience. • Answer, screen, and direct incoming and external telephone calls promptly and professionally. • Complete patient registration and maintain accurate demographic, insurance, and account information. • Verify insurance eligibility, coverage, benefits, and other applicable payer information. • Obtain and/or process required pre-authorizations for wound care, surgical, and other applicable medical procedures. • Follow up on outstanding authorizations and insurance-related issues to support timely patient care and appropriate reimbursement. • Identify and help resolve insurance verification, eligibility, and authorization discrepancies. • Document insurance verification and authorization information accurately in applicable systems. • Maintain accurate patient and account documentation within Epic and iHEAL. • Manage assigned work queues related to registration, insurance verification, authorization, scheduling, and account follow-up. • Assist with scheduling patient appointments, procedures, and related services as applicable. • Coordinate with physician offices, insurance carriers, clinical staff, and other departments when additional information, orders, or documentation are needed. • Communicate insurance coverage, authorization status, and patient financial responsibilities clearly and professionally. • Collect or process patient payments and copays according to established departmental procedures, as applicable. • Scan and maintain required patient, insurance, authorization, and supporting documentation within the electronic medical record. • Review account information for completeness and accuracy and correct identified errors when appropriate. • Independently prioritize daily responsibilities to meet patient needs, departmental deadlines, and productivity expectations. • Maintain confidentiality and adhere to all applicable privacy, compliance, and departmental policies and procedures. • Support a collaborative, professional, and patient-centered work environment. • Perform other related duties as assigned.