Job Description

Job Description

Job Description

Several immediate openings, various shifts

The Senior Patient Access Representative will greet, schedule, meet and register patients in a friendly, courteous, and professional manner. 

· 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 

· Faxes pre-certification request form to 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

· Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards

· High School Diploma or equivalent required

· College degree preferred

· 1+ Year Office/Clerical experience in Healthcare field required

· Exemplary customer service skills, including the ability to negotiate and problem-solve

· Ability to communicate using clear and well organized oral and written techniques

· Strong Attention to detail

· Ability to work within deadlines with frequent interruptions

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