Patient Access Representative - Flex

Geisinger; State College (Centre County); On-site; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a dedicated individual to join their team in a patient-facing role. This position involves checking in patients, verifying insurance details, and ensuring compliance with privacy regulations. The ideal candidate will be responsible for communicating financial obligations to patients and maintaining accurate records while providing exceptional customer service. Join a supportive environment where your contributions will enhance patient experiences and streamline office operations. If you thrive in a dynamic office setting and are committed to patient confidentiality, this opportunity is perfect for you.

Qualifications

• Experience in patient check-in and insurance verification is essential.
• Strong understanding of confidentiality and regulatory compliance.

Responsibilities

• Check patients in for appointments and verify demographics.
• Communicate financial obligations and collect fees at the time of service.
• Maintain confidentiality and comply with HIPAA guidelines.

Skills

Patient Check-in Procedures

Insurance Verification

Financial Communication

Confidentiality Practices

Regulatory Compliance

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.
• Maintains 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.