Patient Access Rep - Clinic

Powers Health; Munster (IN); On-site; USD 22,000 - 30,000; Full time

Job summary

Powers Health Medical Group – Office of Dr M Do in Munster, IN seeks a Patient Access Representative to manage registration, scheduling, and insurance verification for patients; coordinates referrals and predeterminations to support timely revenue cycle activities.

Under minimal supervision, you will interact with patients, insurers, physicians and staff, ensure accuracy of benefits, perform predeterminations, and assist with accounts receivable resolutions while maintaining courteous, compliant

Qualifications

• High School diploma or GED required.
• 1–2 years insurance or medical billing experience, physician practice preferred.
• Knowledge of medical terminology and CPT/ICD-9 & 10 coding required.
• Understanding of government and third party billing regulations.
• At least 1 year experience with predetermination processes.
• Proficient with Microsoft Office applications and computerized health information systems.
• Familiar with general office equipment (scanner, fax, copier, printer, adding machine).
• Strong communication and problem-solving skills.

Responsibilities

• Coordinate patient access, registration, scheduling and insurance verification.
• Submit referrals, authorizations and predeterminations in a timely manner.
• Interact daily with patients, insurance carriers, physicians and staff.
• Verify and authorize insurance benefits on patient accounts; pursue AR balance resolutions.

Skills

Communication

Microsoft Office

Health information system

Problem solving

Education

High School diploma or GED

1–2 years insurance/medical billing experience

CPT/ICD-9 & 10 coding knowledge

Predetermination processes experience

Job description

Powers Health Medical Group · Office of Dr M Do

Full-time , Days , Monday - Friday from 8-4:30pm or 8:30-5pm

Hours/Pay Period: 80

FTE: 1

Position: Patient Access Representative - Clinic

Job Summary:

Under general supervision, coordinates services by performing patient access, registration, scheduling, insurance verification and predeterminations for patients. Interacts daily with patients, insurance carriers, physicians, and staff. Responsible for the verification and authorization of insurance benefits on patient accounts, through electronic verification systems or through contact. Ensures referrals, authorizations, and predeterminations are submitted in an efficient, timely manner. Pursues account receivable balance resolutions.

Education/Experience Requirements:

• High School graduate (or GED equivalent).
• 1-2 years insurance or medical billing experience. Physician practice setting preferred.
• Knowledge of medical terminology and CPT/ICD-9 & 10 coding necessary.
• Comprehension of government and third party billing regulations required.
• Must have at least 1 year experience with predetermination processes.
• Must be able to utilize Microsoft office applications, perform internet navigation and research, and have prior experience using a computerized health information system.
• Needs to be familiar with operating general office equipment, including but not limited to: scanner; fax machine; photocopy; printer and adding machine.
• Must demonstrate effective communication and problem solving skills.