Patient Access Rep - Clinic

Powers-Health; Schererville (IN); On-site; USD 36,000 - 48,000; Full time

Job summary

Powers Health Medical Group in Schererville, IN is seeking a dedicated Patient Access Representative for our clinic. The role handles patient access, registration, scheduling, insurance verification, and predeterminations to keep the flow smooth.

Under general supervision, you will work with patients, insurance carriers, physicians, and staff, ensuring referrals and authorizations are submitted promptly and accurately, and assisting with balance resolutions on patient accounts.

Qualifications

• High School graduate or GED required.
• 1–2 years of insurance or medical billing experience; physician practice preferred.
• Knowledge of medical terminology and CPT/ICD-9 & 10 coding.
• Understanding of government and third-party billing regulations.
• Experience with predetermination processes.
• Proficient with Microsoft Office; able to use health information systems.
• Able to operate standard office equipment.
• Strong communication and problem-solving skills.

Responsibilities

• Coordinate patient access, registration, scheduling, and insurance verification.
• Perform predeterminations and obtain authorizations.
• Interact daily with patients, carriers, physicians, and staff.
• Pursue account receivable balance resolutions.

Skills

Communication skills

Problem solving

Interpersonal skills

Attention to detail

Education

High School graduate

1-2 years insurance or medical billing experience

Physician practice setting experience preferred

Knowledge of medical terminology and CPT/ICD-9 & 10 coding

Understanding of government and third party billing regulations

Predetermination processes experience

Microsoft Office and health information system experience

Familiar with general office equipment

Effective communication and problem solving skills

Tools

Microsoft Office

Electronic health records (EHR) system

Job description

Powers Health Medical Group · Phys Practices CH Admin

Schererville , IN

Full-time , Days , 7:30am-4pm/8am-4:30m

Hours/Pay Period: 80

FTE: 1

Position:

Patient Access Representative - Clinic

Location:

Schererville, IN

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.