Patient Access Representative - Emergency Department

Geisinger; Scranton (Lackawanna County); On-site; USD 32,000 - 52,000; Full time

Benefits offered by this job

Health, dental and vision starting day

Tuition reimbursement

401(k) with company contributions

Generous PTO

Wellness program

Family-friendly support

Employee Assistance Program

Job summary

Geisinger is seeking a detail-oriented patient services professional to manage check-in, verify demographics, and process insurance information. The role involves communicating financial responsibility, scheduling follow-ups, and processing multi-channel requests in a patient-centered environment.

Responsibilities include adherence to HIPAA, cash posting, and maintaining accurate records while delivering prompt, confidential service in an office setting with day-one benefits and a structured

Qualifications

• Experience checking in patients and verifying demographics.
• Ability to read and interpret insurance responses.
• Knowledge of assigning primary/secondary/tertiary insurance per encounter.
• Ability to communicate financial obligations and collect fees.
• Familiarity with HIPAA guidelines and patient confidentiality.

Responsibilities

• Check-in patients and verify demographics.
• Notify patient of wait times and communicate changes.
• Process insurance responses and assign coverage levels.
• Obtain necessary signatures and disclose privacy information.
• Communicate costs and collect fees at point of service.
• Schedule follow-up appointments and referrals as needed.
• Handle multi-channel messages for appointments, referrals, prescriptions, and complaints.
• Perform cash posting and ensure accuracy per guidelines.
• Maintain patient recall and reschedule lists.
• Maintain confidentiality and adhere to policies.

Skills

Patient check-in

Insurance verification

Demographics accuracy

Communication

HIPAA compliance

Cash posting

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.

Position Details: 8 hour shifts between 6pm-6am and rotating weekends and holidays 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