Patient Access Representative | Full-Time, Shifts Vary

Phelps Health; United States; Sur place; USD 32 000 - 42 000; Plein temps

Résumé du poste

Phelps Health in Missouri is hiring for a Patient Access representative. You will greet patients, collect information, schedule appointments, verify insurance, and guide them through the initial steps of their healthcare journey.

Responsibilities include collecting demographics, obtaining consents, obtaining pre-authorizations, explaining benefits, collecting payments, and helping patients navigate the online portal while upholding HIPAA regulations.

Qualifications

• High school diploma or GED required; medical front office training preferred.
• Six months of office or call center, customer service or healthcare experience preferred.
• Knowledge of computers and standard office equipment required.

Responsabilités

• Create a welcoming environment for patients and provide support at the start of their healthcare journey.
• Collect demographic information and enter it into the system; update records as needed.
• Verify insurance coverage and obtain pre-authorizations or referrals when required.
• Explain insurance benefits and financial responsibilities to patients.
• Provide exceptional customer service by phone and in person; address concerns promptly.
• Adhere to HIPAA regulations and maintain patient confidentiality.
• Collect co-pays, deductibles, co-insurance, and balances per hospital policy.
• Ensure regulatory compliance and patient estimates are produced and distributed.
• Maintain work queues to support claims processing and patient satisfaction.
• Assist patients with navigating the online patient portal.
• Be flexible as work assignments may shift based on business needs.

Connaissances

Customer service

Computer skills

Formation

High school diploma or GED

Description du poste

Phelps Health is a 2000-employee-strong hospital and healthcare system serving the heart of small-town Missouri.

No matter where you start with us, we’re committed to taking our team to the top. If you’re ready for the challenge of providing life-saving care or supporting those who do, read on to find your fit in the Phelps Health family.

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General Summary

• Patient access responsibilities include a wide range of duties aimed at facilitating patient access to healthcare services.These responsibilities generally involvepatient registration, appointment scheduling, insurance verification, and providing information and support to patients.Patient access representatives, in particular, are often the first point of contact for patients, greeting them, collecting necessary information, and guiding them through the initial stages of their healthcare experience.

Essential Duties and Responsibilities

• Creating a welcoming and efficient environment for patients, addressing their needs, and providing support throughout the initial stages of their healthcare journey.
• Collect accurate demographic information (e.g., name, address, phone number, date of birth, insurance information) and enter it into the system. Update existing patient records with any changes. Obtains applicable consents and any required form(s) from patient.
• Verify patients’ insurance coverage by contacting insurance providers or EHR Real Time Eligibility, or using online verification systems and ensuring the correct coverage is on the patient’s account.
• Ensure necessary pre-authorizations or referrals for services are obtained. Explain insurance benefits and financial responsibilities to patients.
• Provide exceptional customer service by answering phones promptly and professionally, addressing concerns, and providing information.
• Adhere to all HIPAA regulations and maintain patient confidentiality.
• Collect co-pays, deductibles, co-insurance, and balance payments in accordance with hospital policy.
• Assures hospital compliance with all regulatory agency requirements.
• Produces and distributes patient estimates.
• Maintains work queues to ensure efficient claims processing, patient satisfaction, and organizational financial health.
• Assists patients with navigating and using the online patient portal.
• Be flexible and adaptive as work assignment and area may shift based on business needs and priorities.

Education

• High school diploma or GED required. Certificate or diploma from a school specializing in Medical Front Office and/or Medical Terminology preferred.

Work Experience

• Six months of office and/or call center, customer service or healthcare experience is preferred.
• Knowledge of computers and other standard office equipment required.

Certification/License

• N/A

Mental/Physical Requirements

• Ability to concentrate, pay close attention to detail and perform duties under time restrictions. Normal mental concentration on variable operations for short periods of time and moderate concentration with repetitive operations for long periods of time. Work involves extensive use of computer with frequent interruptions. Ability to stand, walk, sit and reach. Must be able to assist and transport patients in wheel chairs. Ability to lift 10lbs required.

Working Conditions

• The standard office conditions with more than average noise. Periodic contact with conditions such as fumes, noise, chemicals, hazards, and/or diseases. Ability to work shifts is required.

At Phelps Health, we think we have a better team, benefits, and opportunities for growth than anyone else around, and we invite you to see for yourself!