Patient Access Representative 1 - PBC - Pediatric Orthopedic Surgery
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Job Description
Responsible for accurately registering patients in EMR including validating patient information, verification of insurance coverage, collection of required payments and ensuring the patient's experience is best in class. Responsible for understanding and compliance of state and federal regulations related to hospital registrations.
Responsibilities
- Customer Service/Patient Flow
- Accurately and efficiently registers patients in Epic; monitors and manages the flow of patients through the clinic utilizing initiative to ensure the patient experience is best in class.
- Monitors patient schedules and reviews accounts to determine the patient's financial responsibility on account balance and arranges payment plans to collect. Assists patients with access to government and community resources to enhance their access to health care services.
- Works closely with physicians, nurse practitioners and nursing staff to ensure that referrals to other providers/services/facilities are completed in accordance with payor requirements in a timely manner.
- Facilitates the patient's access to information including but not limited to MyChart access.
- Accurately updates patient's records as needed.
- Accurately enters and updates charges as necessary.
- Clinic Operations
- Actively supports clinic, hospital and health system initiatives related to improvement in the day-to-day operations.
- Manages cash in accordance with established policies and procedures to ensure that payments are accurately credited to the patients' accounts and cash is maintained in a secure manner.
- Meets site collection goals.
- Performance Excellence
- Actively supports the organizations performance excellence initiatives.
- Performs duties in a manner that results in improved patient outcomes and patient satisfaction scores.
- Actively supports the organizations Culture of Excellence utilizing initiative to make suggestions that would improve the patient's experience and the environment of care.
- Provides quality training and orientation for other Team Members when assigned.
- Other Duties as Assigned
- Performs other duties as assigned or requested.
Qualifications
Experience - 6 months relevant experience (customer service, billing, registration, finance, or accounting) in medical office, hospital setting, or insurance office. Bachelor's degree substitutes for required experience.
Education - High School or equivalent
Special Skills - Professional demeanor, excellent customer service skills, ability to multi-task, critical thinking, demonstrated computer literacy, ability to learn and demonstrate proficiency in Epic during the introductory period.
Seniority level
Seniority level
Entry level
Employment type
Job function
Job function
Health Care ProviderIndustries
Hospitals and Health Care
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