Senior Patient Access Representative - 10:30A - 6:00P Flex Schedule

Requirements

• Answers and routes telephone calls and messages
• Coordinates insurance verifications and pre-authorizations
• Maintains medical records and prepares charts/paperwork
• Works effectively with insurance companies to obtain/verify pre-certification/authorization for services
• Ability to understand/interpret documented clinical information and relay pertinent medical/clinical information to the insurance company
• Maintains files and security of confidential information utilizing host system to scan and input data as per established procedures
• Verifies medical insurance information and documents in scheduling/registration modules
• Accurately enters and updates 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
• Demonstrates knowledge of varied managed care insurance and regulatory guidelines
• Monitors waiting area and communicates with clinical staff of patient readiness
• Provides assistance as needed to physicians, Department Managers, and clinical staff
• Effective communication skills; clear written and oral techniques
• Performs 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