Patient Access Representative

Scottish Rite for Children; San Francisco (CA); On-site; USD 36,000 - 48,000; Full time

Job summary

Scottish Rite for Children is seeking a Patient Access Representative to join our Frisco Ambulatory Surgical Center team. The role involves handling a high volume of calls, scheduling and updating patient appointments, verifying insurance, and coordinating with multiple departments to ensure smooth patient flow.

The successful candidate will have a high school diploma (or equivalent) and prefer 2 years of medical office experience, especially in appointment scheduling and insurance procedures.

Qualifications

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

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, insurance coverage, explain benefit eligibility, and refer families to financial counselors
• Accurately pre-register specific data elements prior to the scheduled date of service
• Perform all aspects of insurance verifications
• Add insurance coverage and update the billing system to reflect the insurance status
• Obtain authorizations and pre-certifications as required for all procedures and coordinate with clinical staff
• Correspondence from Insurance companies is sent to HIM for scanning
• Provide clerical and administrative support as required
• Create reports for tracking and trending
• Alter provider schedule template in EMR
• Assist with departmental coverage as requested

Skills

Appointment scheduling

Phone etiquette

Customer service

Data entry

Education

High School diploma

Job description

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

Job Posting Title:

Patient Access Representative

Location:

Frisco - Ambulatory Surgical Center

Additional Posting Details:

Monday - Friday

8:00am - 4:30pm, 40 Hours per week at the discretion of clinic needs.

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