Patient Access Representative PRN - Therapy Services

Scottish Rite for Children; San Francisco (CA); On-site; USD 28,000 - 36,000; Part time

Job summary

Scottish Rite for Children in Frisco, TX is seeking a Patient Access Representative PRN for Therapy Services to manage high volumes of calls, schedule and pre-register patient appointments, verify insurance coverage, and coordinate with downstream departments in a busy ambulatory setting.

The 20-hour-per-week, second-shift (3–7 pm, Mon–Fri) role emphasizes accurate data entry, insurance verifications, obtaining authorizations, and delivering friendly, patient-centered clerical support while

Qualifications

• High School education or equivalent.
• Preferred 2 years working in a medical office setting.
• Preferred experience in insurance procedures.
• Preferred experience in medical appointment scheduling.

Responsibilities

• Manages a high volume of incoming and outgoing telephone calls.
• Responsible for completing assigned workqueues.
• Accurately schedule and re-schedule patient appointments in a timely manner.
• Effectively communicate and coordinate patient appointments with downstream departments.
• Contacts families to verify information, insurance coverage, explain benefit eligibility, and refer families to financial counselors.
• Accurately pre-register specific data elements prior to the patients scheduled date of service.
• Perform all aspects of insurance verifications.
• Add insurance coverage and update the billing system to reflect the insurance status of the patient.
• Obtain authorizations and pre-certifications as required for all procedures; work with clinical staff to obtain additional clinical information for benefit review.
• Responsible for all correspondence from Insurance companies to be sent to HIM for scanning.
• Provide clerical and administrative support as required.
• Create reports for tracking and trending purposes.
• Alter provider schedule template in electronic medical record (EMR).
• Assist with departmental coverage as requested.

Education

High School education or equivalent

Job description

Our patients are our number one priority! We're committed to giving children back their childhood!

Job Posting Title: Patient Access Representative PRN - Therapy Services

Location: Frisco - Ambulatory Surgical Center

Additional Posting Details: 20 hours per week dedicated to 2nd shift, 3-7 pm M-F.

Job Description

• Manages a high volume of incoming and outgoing telephone calls
• Responsible for completing assigned workqueues
• Accurately schedule and re-schedule patient appointments in a timely manner
• Effectively communicate and coordinate patient appointments with downstream departments
• Contacts families to verify their information, insurance coverage, explain benefit eligibility, and refer families to financial counselors to enroll in financial assistance
• Accurately pre-register specific data elements prior to the patients scheduled date of service
• Perform all aspects of insurance verifications
• Add insurance coverage and update the billing system to reflect the insurance status of the patient
• Obtain authorizations and pre-certifications as required for all procedures; work with clinical staff to obtain additional clinical information for benefit review
• Responsible for all correspondence from Insurance companies to be sent to HIM for scanning.
• Provide clerical and administrative support as required
• Create reports for tracking and trending purposes
• Alter provider schedule template in electronic medical record (EMR)
• Assist with departmental coverage as requested

Required Skills/Abilities

• High School education or equivalent
• Preferred 2 years working in a medical office setting
• Preferred experience in insurance procedures
• Preferred experience in medical appointment scheduling

Work Environment

Working conditions: inside.

Working Position: sitting, standing, and walking.

Physical Demands: light.

Physical Requirements: lifting/carrying, repetitive movement, stooping/kneeling/bending.

An Individual in this position will be required to lift or carry weight in this group: 11-24 lbs.

Sensory/Communicative activities essential to the performance of this position: feeling, hearing, seeing, speaking.

An Individual in this position will be exposed to: inside environment, loud noise.

At Scottish Rite for Children, we work together with the common goal of helping give children back their childhood. Scottish Rite is a unique place to work because we believe in a collaborative approach, utilizing the care and expertise from all departments. We are always looking for caring, energetic individuals to join our team. We currently have locations in Dallas and Frisco and are an equal opportunity employer.

For questions, contact [e-mail].