Patient Access Representative- Community Care

Geisinger; Scranton (Lackawanna County); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Full benefits

Medical plan options

Tuition reimbursement

Life insurance

Disability coverage

Paid time off

Job summary

Geisinger is seeking a Patient Access Representative to greet and register patients, verify demographics, schedule appointments, and handle multi-channel inquiries in a fast-paced hospital setting.

The role emphasizes HIPAA compliance, accurate insurance processing, collecting payments, and coordinating referrals and pre-certifications. A HS diploma or GED and 1 year of related experience (preferred) are required.

Qualifications

• High School Diploma or GED required.
• Minimum of 1 year related work experience preferred.

Responsibilities

• Front line support to the department, greeting and registering patients, supporting checkout and scheduling follow-ups.
• Verify demographics and ensure accurate check-in procedures; monitor wait times and communicate changes.
• Process insurance information, assign primary/secondary/tertiary insurer per encounter, and collect applicable fees.
• Complete regulatory forms, handle referrals and pre-certifications, and manage patient recall and reschedule lists.
• Document and release medical records as needed and adhere to HIPAA and privacy guidelines.

Education

High School Diploma or GED

Job description

Job Summary

Geisinger’s Patient Access Representatives (PARs) are excellent communicators who handle patient inquiries every day — all while maintaining empathy, professionalism and providing a positive patient experience.

Job Summary

Geisinger’s Patient Access Representatives (PARs) are excellent communicators who handle patient inquiries every day — all while maintaining empathy, professionalism and providing a positive patient experience.

Job Duties

Responsible for front line support to the department. Coordinates and performs front line office activities in an effective and efficient manner for the department. Greets and registers incoming patients, supports the patient checkout process and schedules future appointments as applicable.

• 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.

Position Details

• Hours: 10:30am- 7:00pm, Full time, 40 hours a week.
• Education Requirement: HS Diploma or GED is required.

Benefits Of Working At Geisinger

• Full benefits (health, dental and vision) starting on day one
• Three medical plan choices, including an expanded network for out-of-area employees and dependents
• Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) anda health savings account (HSA)
• Company-paid life insurance, short-term disability, and long-term disability coverage
• 401(k) plan that includes automatic Geisinger contributions
• Generous paid time off (PTO) plan that allows you to accrue time quickly
• Up to $5,000 in tuition reimbursement per calendar year
• MyHealth Rewards wellness program to improve your health while earning a financial incentive
• Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones
• Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care. Access free legal guidance, mental health visits, work-life support, digital self-help tools and more.
• Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance

Education

High School Diploma or Equivalent (GED)- (Required)

Experience

Minimum of 1 year-Related work experience (Preferred)

OUR PURPOSE & VALUES

Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.