Patient Access Rep - Clinic

St. Joseph Hospital; United States; Sur place; USD 35 000 - 52 000; Plein temps

Résumé du poste

CommonSpirit Health is seeking a Patient Access Representative to manage the patient intake process in our clinic. You will interact with patients in person and by phone, facilitate check-in/out, collect data and payments, validate insurance, schedule appointments, and process referrals and authorizations.

The role requires understanding of billing, insurance terminology and medical terminology, with a focus on delivering a seamless, high-quality patient intake experience and providing

Qualifications

• Strong customer service skills and professional communication.
• Knowledge of insurance terminology, billing practices and medical terminology.
• Ability to work with diverse patient populations and handle sensitive information.

Responsabilités

• Assembles all data and documents required for complete patient registration, including, pre-admission, admission, pre-registration and registration functions; completes all insurance verifications and authorizations.
• Enters all patient demographic information; uses department applications for eligibility and authorization.
• Assesses patient financial responsibility and collects co-pays and deductibles at time of admission.
• Screens admissions and informs referring physician offices, patients and their families about hospital policies and procedures regarding method of payment sources for services rendered.
• Obtains and documents funding information from patients and provides information on available funding resources; obtains funding for patients in the statuses of scheduling, pre-registration, registration, or post registration as assigned.
• Uses payer resources and website to explore and assess eligibility; initiates third party referrals, administers financial assistance policy and procedures to determine patient eligibility for discounted prices or charity care

Connaissances

Customer service

Insurance knowledge

Billing terminology

Formation

High school diploma or GED

Description du poste

Where You'll Work

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Job Summary and Responsibilities

As a Patient Access Representative, you will manage administrative duties for the patient intake process in our clinic, adhering to established guidelines.Every day you will interact with patients in person and by phone, facilitating check-in/out, collecting data and payments, validating insurance, scheduling appointments, and processing referrals and authorizations.To be successful, you will demonstrate critical thinking, strong customer service, and knowledge of insurance, billing, and medical terminology, ensuring a seamless, high-quality patient intake experience.

• Assembles all data and documents required for complete patient registration, including, pre‐admission, admission, pre‐registration and registration Functions; completes all insurance verifications and authorizations
• Enters all patient demographic information; uses other department applications for eligibility and authorization
• Assesses patient financial responsibility and collects co‐pays and deductibles at time of admission
• Screens admissions and informs referring physician offices, patients and their families about hospital policies and procedures regarding method of payment sources for services rendered
• Obtains and documents funding information from patients and Provides information on available funding resources; obtains funding for patients in the statuses of scheduling, pre‐registration, registration, or post registration as assigned
• Uses payer resources and website to explore and assess eligibility; Initiates third party referrals, administers financial assistance policy and procedures to determine patient eligibility for discounted prices or charity care

Job Requirements

Required

• High School Graduate General Studies, upon hire or
• High School GED General Studies, upon hire
• None, upon hire