Patient Access Rep

GHI Gateway Healthcare, Inc.; Wakefield (RI); On-site; USD 25,000 - 41,000; Full time

Job summary

Brown University Health is seeking a Patient Access Representative to handle front desk duties, patient registration, and data entry for reimbursement. You will greet clients, schedule appointments, verify benefits, and manage authorizations in a team-focused environment that values compassion and collaboration.

Qualifications include a high school diploma and at least one year working with third-party payers or in a human services setting, plus comfort with computer systems.

Qualifications

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

Responsibilities

• Greet clients and visitors as a receptionist.
• Schedule appointments and reminder calls for multiple providers.
• Verify benefits with insurance carriers and enter data.
• Obtain authorizations and manage reimbursement processes.
• Maintain client data and prepare reports.

Skills

Communication skills

Math skills

Spreadsheet skills

Word processing

Training/certifications

Education

High School Diploma or equivalent

Tools

Spreadsheets

Word processing

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. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate

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 practices Processes reports for specific data. Performs light secretarial duties Performs other duties as assigned

MINIMUM QUALIFICATIONS

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

24 Salt Pond Rd Suite H5 - 24 Salt Pond Road South Kingstown, Rhode Island 02879

Work Type

M-F 8:30-5

Work Shift

Day

Daily Hours

8 hours

Driving Required

No

About Brown University Health

As Rhode Island's largest health system and private employer, Brown University Health is the state's premier provider of health services and includes the only Level I Trauma Center for southeastern New England. Today, more than 20,000 people work at Brown University Health and bring their unique skills, experiences, and compassion to their jobs every day. Formed in 1994, Brown University Health is a not-for-profit health system based in Providence, RI comprising three teaching hospitals of The Warren Alpert Medical School of Brown University: Rhode Island Hospital and its Hasbro Children's; The Miriam Hospital; and Bradley Hospital, the nation’s first psychiatric hospital for children; Newport Hospital, Saint Anne's Hospital and Morton Hospital, community hospitals offering a broad range of health services; Gateway Healthcare, the state’s largest provider of community behavioral health care; and Brown Health Medical Group, the largest multi-specialty practice in Rhode Island.

Diversity & Inclusion

Brown University Health is an equal opportunity employer that values diversity of cultural background, race, gender, age, religion, identity, ability, and perspectives - we are actively committed to a diverse workforce that represents the patients and community that we serve. We are invested in creating a respectful, inclusive, and equitable environment that supports the holistic well-being of our employees and their families.

Join Us

Join us and help build a healthier future for our patients - and for yourself.