Patient Access Representative

Talentify; Frisco (TX); On-site; USD 35,000 - 52,000; Full time

Job summary

Talentify, located at Frisco Ambulatory Surgical Center, seeks a Patient Access Representative for Therapy Services. The role involves managing a high volume of calls, scheduling appointments, verifying insurance, and coordinating with multiple departments. Hours are Monday–Friday; hours vary between 7:00 am–7:00 pm.

The position requires strong clerical skills and experience in a medical office setting. Ideal candidates will have a high school diploma and prefer at least 2 years in a medical

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.
• Schedule and reschedule patient appointments in a timely manner.
• Coordinate patient appointments with downstream departments.
• Verify patient information and insurance coverage; refer to financial counselors if needed.
• Pre-register data elements prior to service date.
• Perform insurance verifications and update billing records.
• Obtain authorizations/pre-certifications as required; work with clinical staff for info.
• Prepare correspondence for insurance communications and HIM scanning.
• Provide clerical support and create tracking/reporting reports.
• Adjust EMR provider schedule templates as needed.
• Assist with department coverage as requested.

Skills

Phone calls management

Appointment scheduling

Insurance verification

Data entry

Education

High School diploma or equivalent

Tools

EMR system

Job description

Our patients are our number one priority! We're committed to giving children back their childhood!

Patient Access Representative - Therapy Services

Location

Frisco - Ambulatory Surgical Center

Additional Posting Details

Monday - Friday

hours varies between 7:00 am-7:00 pm

Job Description

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

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