Patient Access Representative - Primary Care

Geisinger; Nanticoke (Luzerne County); On-site; USD 35,000 - 45,000; Full time

Job summary

A leading healthcare provider in Luzerne County is seeking a dedicated professional to manage patient check-ins, ensure compliance with organizational policies, and maintain patient confidentiality. This role offers a supportive work environment with a focus on patient care and organizational compliance. The successful candidate will engage with patients regarding their financial responsibilities and assist with appointment scheduling, ensuring a seamless experience for all.

Benefits

Full benefits (health, dental, vision) starting day one

401(k) plan with company contributions

Generous paid time off (PTO) accrual

Up to $5,000 annual tuition reimbursement

Employee Assistance Program (EAP) offering legal, mental health, and work-life support

Responsibilities

• Check patients in for appointments and verify demographics accurately.
• Explain financial obligations to patients and collect fees at the time of service as appropriate.
• Adhere to organizational and HIPAA guidelines, ensuring privacy, confidentiality, and patient rights.

Job description

Responsibilities:

1. Check patients in for appointments and verify demographics accurately.
2. Ensure completion of check-in procedures, monitor patient wait times, and communicate updates to patients.
3. Read and interpret insurance responses.
4. Understand insurance guidelines and rank requirements to assign primary, secondary, and tertiary insurance correctly per encounter.
5. Provide necessary disclosure and privacy information, and obtain legal and financial signatures.
6. Explain financial obligations to patients and collect fees at the time of service as appropriate.
7. Complete regulatory forms with patients, explaining their purpose.
8. Schedule follow-up appointments, including specialty or ancillary services, to complete patient visits.
9. Process messages related to patient and physician requests regarding appointments, referrals, prescriptions, and complaints.
10. Notify patients or guarantors of anticipated financial responsibilities, including copays, deductibles, or coinsurances, and collect payments accordingly.
11. Perform cash posting following department guidelines.
12. Adhere to organizational and HIPAA guidelines, ensuring privacy, confidentiality, and patient rights.
13. Work independently on work queues to resolve accounts timely.
14. Maintain productivity and quality performance standards.
15. Uphold confidentiality at all times.
16. Maintain and release medical records accurately.
17. Assist with referrals and pre-certifications during encounters.
18. Utilize and maintain patient recall and reschedule lists properly.

Work Environment and Organizational Expectations:

Work is typically performed in an office setting. The role requires satisfying all job-specific obligations and compliance with organizational policies and procedures. The statements herein are not all-inclusive but represent essential elements for successful performance.

About Geisinger:

We care about our patients, members, and employees. We offer a competitive benefits package to support your health, financial stability, and professional growth. We promote a diverse and inclusive environment. Learn more at https://jobs.geisinger.org/diversity.

Benefits of Working at Geisinger:

• Full benefits (health, dental, vision) starting day one
• Three medical plans, including expanded networks for out-of-area employees and dependents
• Pre-tax savings plans, including FSA and HSA options
• Company-paid life, short-term, and long-term disability insurance
• 401(k) plan with company contributions
• Generous paid time off (PTO) accrual
• Up to $5,000 annual tuition reimbursement
• MyHealth Rewards wellness program
• Family-friendly support, including adoption, fertility assistance, parental leave, and discounted backup care
• Employee Assistance Program (EAP) offering legal, mental health, and work-life support
• Voluntary benefits such as accident, critical illness, hospital indemnity, and more