Patient Access Representative - Patient Access

McLeod Health; South Carolina; On-site; USD 36,000 - 48,000; Full time

Job summary

McLeod Health in South Carolina is seeking a Patient Access professional to maintain a professional image and deliver excellent customer service to patients, visitors, physicians, and co-workers. You will enter accurate patient information into the electronic health record and uphold HIPAA confidentiality in a fast-paced, KPI-driven environment.

You will schedule, reschedule, and cancel appointments, verify insurance eligibility, generate patient estimates, explain liability, and collect

Qualifications

• Demonstrates proficient interpersonal and communication skills.
• Basic data entry and computer skills, including Microsoft Office products.
• Familiarity with medical terminology, preferred.
• Prior healthcare, medical office, or insurance experience preferred.
• If applicable, minimum 2 years experience in call center environment, preferred.

Responsibilities

• Assist with patient access processes and appointments in the electronic health record.
• Verify and correctly assign insurance coverages based on eligibility responses.
• Create a transparent financial experience including generation of estimate, explains patient liability, and collects prepayments and/or outstanding balances.
• Monitors and resolves errors in assigned workqueues.
• Advocates for patient engagement, including activation of MyChart.
• Supports the Patient Access Supervisor with special projects as needed.
• Performs all other duties as assigned.

Skills

Interpersonal skills

Data entry/computers

Medical terminology

Healthcare/insurance experience

Call center experience

Education

HS diploma/GED

Tools

Microsoft Office

Electronic Health Records

Job description

Job Description

Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.
Requires a high level of public contact and excellent interpersonal skills.
Ability to work in a fast paced metric driven environment that is patient centered.
Obtains required information for hospital and physician records, governmental requirements, billing and third-party payer needs.
Enters accurate patient information into the electronic health record.
Maintains confidentiality of patient information and complies with HIPAA regulations.
Correctly transcribes and validates patient orders.
Schedule, re-schedule, and cancel appointments in the electronic health record at the request of the patient, receiving department or ordering provider.
Verifies and correctly assigns insurance coverages based on eligibility responses.
Creates a transparent financial experience including generation of estimate, explains patient liability, and collects prepayments and/or outstanding balances.
Monitors and resolves errors in assigned workqueues.
Advocates for patient engagement, including activation of MyChart.
Fundamental understanding of KPI’s and thresholds to measure productivity.
Assists with wayfinding and connecting patient to care.
Supports the Patient Access Supervisor with special projects as needed.
Performs all other duties as assigned.

Works Schedule

80 hours bi-weekly

Qualifications/Training

• Demonstrates proficient interpersonal and communication skills
• Basic data entry and computer skills, including Microsoft Office products
• Familiarity with medical terminology, preferred
• Prior healthcare, medical office, or insurance experience preferred
• If applicable, minimum 2 years experience in call center environment, preferred

Licenses/Certifications/Registrations/Education

• HS diploma/GED preferred

About Us

Founded in 1906, McLeod Health is a locally owned and managed, not for profit organization supported by the strength of more than 900 members on its medical staff and more than 2,900 licensed nurses. McLeod Health is also composed of approximately 15,000 team members and more than 90 physician practices throughout its 18-county service area . With seven hospitals, McLeod Health operates three Health and Fitness Centers, a Sports Medicine and Outpatient Rehabilitation Center, Hospice and Home Health Services. The system currently has 988 licensed beds , including Hospice and Behavioral Health. The hospitals within McLeod Health include: McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw, McLeod Health Clarendon and McLeod Behavioral Health.

About The Team

We are an equal opportunity employer.