Patient Access Rep

Lifespan; Pawtucket (RI); On-site; USD 24,975 - 41,190; Full time

Job summary

Gateway Healthcare Inc. seeks a Patient Access Representative to support front desk operations, client registration, and data collection to ensure service reimbursement. The role involves greeting clients, scheduling, and maintaining accurate electronic records at the Pawtucket facility.

The position requires effective communication, basic math, and proficiency with standard software tools. Strong attention to confidentiality and professional interaction is essential.

Qualifications

• Must have good communication skills both verbal and written.
• Moderate mathematical skills to calculate figures and amounts.
• Ability to perform basic arithmetic in all units of measure with calculator or manually.

Responsibilities

• Greet clients and visitors as receptionist.
• Schedule appointments and reminder calls for multiple providers.
• Maintain front desk schedules and perform daily preparation activities.
• Collect information for reimbursement, e.g. income verification and registration.
• Register new clients and open electronic case at admission.
• Verify benefits with insurance carriers and enter data into CMHC.
• Obtain authorizations and monitor reimbursement processes.
• Maintain client data and co-pay information electronically.
• Assist in developing procedures and generate reports.

Skills

Communication

Math skills

Calculator use

Spreadsheet software

Word processing

Training/certifications

Education

High School Diploma or equivalent

Tools

CMHC system

Job description

SUMMARY

The Patient Access Rep works as a member of a team assigned to perform front deskfunctions, client registration and the collection of information necessary to ensure reimbursement for services.

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

MAIN DUTIES AND RESPONSIBILITIES

• Acts as a receptionist greeting all clients and visitors.
• Makes appointments and reminder calls for multiple providers.
• Maintains the front desk schedules and performs daily preparation activities.
• Collects necessary information, e.g. income verification, voter registration, currentcare registration, demo updates.
• Registers new clients; gathering necessary paperwork and electronically opening case at admission.
• Verifies benefits with insurance carriers and enters the information into CMHC.
• Obtains and monitors authorizations and reimbursement processes.
• Maintains specific client data electronically, e.g. current care # Records co-pay information and electronically enters cash receipt.
• Participates in the development of procedures to enhance current practicesProcesses reports for specific data.
• Performs light secretarial duties Performs other duties as assigned

QUALIFICATION REQUIREMENTS

• Minimum High School Diploma or equivalent.
• At least one-year experience in working with Third Party Payers and/ or one-year support experience in a human service office environment.
• Must be comfortable working in a computer environment.

NECESSARY SPECIAL REQUIREMENTS

• This position requires minimum physical exertion.
• There may be some light lifting involved in the day-to-day performance of the job.

JOB KNOWLEDGE, SKILL, AND ABILITY

• Must have good communication skills both verbal and written; including speech, grammar, spelling, and legibility are at sufficient level to ensure effective and appropriate communication
• Moderate mathematical skills in order to calculate figures and amounts;
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals either manually or by use of a calculator
• Demonstrated skill in use of spreadsheet and word processing software-
• Ability to successfully complete all required training and certifications- Maintain effective communication and professional relationships with all external contacts.
• Demonstrate ability to present ideas and information in a timely, concise, effective and interpersonal and appropriate manner through both written and oral forms

ETHICS

• Uses and accesses information in client's health information record or about a client only as necessary to actual duties and then only in accordance with access levels assigned to this position by Gateway Healthcare Inc. from time-to-time and in accordance with Gateway Healthcare Inc. policies, rules, and procedures as adopted by Gateway Healthcare Inc. from time-to-time.
• Comply with agency ethics and codes of conduct in all contacts with clients, co-workers and the community
• Adheres to the Ethics and Code of Conduct Policies, educating staff in relation to the same.
• Demonstrate ability to be trusting, trustworthy and respectful of self and others by ensuring confidentiality and appreciation for others time, resources, and respect for the dignity of each person

INTERPERSONAL FACTORS

• Must be able to appreciate the sensitive/private nature and legal status of information about individual clients obtained, maintained, or used by Gateway Healthcare Inc. and to not access, use, disclose, or request such information about a client unless necessary to the performance of his/her job.

PHYSICAL/ENVIRONMENTAL DEMANDS

• The physical demands described here are representative of those that must be met by an employee to successfully perform the main duties and responsibilities of this job.
• Other duties with different demands may also be assigned by the employee's supervisor.
• Gateway complies with the Americans with Disabilities Act and analogous state statutes.
• Therefore, to the extent required by law, Gateway will make reasonable accommodations to allow qualified individuals with disabilities to perform the essential functions, duties and responsibilities of their positions.
• Employees and applicants should discuss requests for reasonable accommodations with Human Resources at any time.

Pay Range

$18.13-$29.90

EEO Statement

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location

GHI-Pawtucket-101 Bacon Street - 101 Bacon St. Pawtucket, Rhode Island 02860

Work Type

8-5

Work Shift

Day

Daily Hours

8 hours

Driving Required

No