Patient Access Representative

src; Dallas (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

SRC is seeking a Patient Access Representative in Dallas Hospital to manage a high volume of calls and coordinate patient appointments. You will verify information, assist with scheduling, and support insurance processes within a busy hospital setting.

This role requires organizational skills, attention to detail, and the ability to interact with patients and families in a professional manner. Working hours are Monday–Friday, 8:00 am–5:00 pm, with PRN as needed.

Qualifications

• High School education or equivalent.
• Preferred 2 years working in a medical office setting.
• Preferred experience in insurance procedures.
• Preferred experience in medical appointment scheduling.

Responsibilities

• Manages a high volume of incoming and outgoing telephone calls.
• Responsible for completing assigned workqueues.
• Accurately schedule and re-schedule patient appointments in a timely manner.
• Effectively communicate and coordinate patient appointments with downstream departments.
• Contacts families to verify information, explain benefits, and refer families to financial counselors for enrollment in financial assistance.
• Pre-register specific data elements prior to the scheduled date of service.
• Perform all aspects of insurance verifications and update billing status.
• Obtain required authorizations and pre-certifications for procedures in collaboration with clinical staff.
• Handle correspondence from Insurance companies to HIM for scanning.
• Provide clerical and administrative support as required.
• Create reports for tracking and trending purposes.
• Alter provider schedule templates in the EMR and assist with departmental coverage as needed.

Education

High School diploma or equivalent

Job description

Patient Access Representative

• Location: Dallas - Hospital
• Additional Posting Details: PRN, as needed
• Working hours: Monday - Friday 8:00 am - 5:00 pm

Duties/Responsibilities

• Manages a high volume of incoming and outgoing telephone calls
• Responsible for completing assigned workqueues
• Accurately schedule and re-schedule patient appointments in a timely manner
• Effectively communicate and coordinate patient appointments with downstream departments
• Contacts families to verify their information, insurance coverage, explain benefit eligibility, and refer families to financial counselors to enroll in financial assistance
• Accurately pre-register specific data elements prior to the patients scheduled date of service
• Perform all aspects of insurance verifications
• Add insurance coverage and update the billing system to reflect the insurance status of the patient
• Obtain authorizations and pre-certifications as required for all procedures; work with clinical staff to obtain additional clinical information for benefit review
• Responsible for all correspondence from Insurance companies to be sent to HIM for scanning.
• Provide clerical and administrative support as required
• Create reports for tracking and trending purposes
• Alter provider schedule template in electronic medical record (EMR)
• Assist with departmental coverage as requested

Required Skills/Abilities

• High School education or equivalent
• Preferred 2 years working in a medical office setting
• Preferred experience in insurance procedures
• Preferred experience in medical appointment scheduling

Work Environment

• Working conditions: inside.
• Working Position: sitting, standing, and walking.
• Physical Demands: light.
• Physical Requirements: lifting/carrying, repetitive movement, stooping/kneeling/bending.
• An Individual in this position will be required to lift or carry weight in this group: 11-24 lbs.
• Sensory/Communicative activities essential to the performance of this position: feeling, hearing, seeing, speaking.
• An Individual in this position will be exposed to: inside environment, loud noise.