Patient Access Representative

Geisinger; Danville (PA); On-site; USD 36,000 - 48,000; Full time

Job summary

Geisinger in Danville, PA is seeking a detail-oriented Patient Access Specialist to check patients in, verify demographics, and ensure all sign-in procedures are completed accurately, while communicating wait times.

The role involves interpreting insurance responses, assigning primary/secondary/tertiary coverage, handling disclosures, collecting fees, coordinating follow-up appointments, processing multi-channel messages, and upholding HIPAA and patient confidentiality in daily office operations.

Qualifications

• Experience with patient check-in and demographic verification.
• Familiarity with insurance responses and ranking (primary/secondary/tertiary).
• Ability to communicate financial responsibility and collect fees.

Responsibilities

• Check patients in for appointments and verify demographics.
• Assure all check-in procedures are completed and monitor patient wait times.
• Read and interpret insurance responses and assign coverage (primary/secondary/tertiary).
• Disclose privacy information, obtain necessary signatures, and collect fees at time of service.
• Schedule follow-up appointments including referrals or specialty services.
• Process multi-channel messages regarding appointments, referrals, prescriptions, and complaints.
• Maintain HIPAA compliance and patient confidentiality; manage recall and reschedule lists.

Skills

Patient check-in

Insurance verification

HIPAA compliance

Financial counseling

Communication

Tools

EHR systems

Job description

• Responsible for checking patients in for appointments and accurately verifying demographics.
• Assures all check-in procedures are completed and monitors patient wait times, communicating changes to the patient as necessary.
• Reads and interprets insurance responses.
• Understands general guidelines and insurance rank requirement to properly assign primary, secondary, and tertiary insurance per encounter.
• Ensures patient receives necessary disclosure and privacy information, obtains necessary legal and financial signatures.
• Communicates financial obligations to patients and collects fees at time of service as appropriate.
• Communicates the purpose of and completes all necessary regulatory forms with patient.
• Completes patient's visit by scheduling any necessary follow up appointments to include any specialty or ancillary services as possible.
• Processes multi-channel messages related to patient and/or physician requests regarding: appointments, referrals, prescriptions, and complaints.
• Notifies patient or guarantor of anticipated financial responsibility including copays, deductibles, or coinsurances and collects accordingly.
• Performs cash posting following department guidelines.
• Abides by organizational and HIPAA guidelines, privacy practices, patient confidentiality and patient rights.
• Independently works work queues to ensure timely resolution of all accounts.
• Maintain productivity and quality performance expectations
• Must maintain high regard for confidentiality.
• Accurately performs medical record maintenance and releases.
• Assists with referrals and pre-certifications, at the time of encounter.
• Properly utilizes and maintains patient recall and reschedule lists.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.