patient access representative Senior

Geisinger; Wilkes-Barre (Luzerne County); On-site; USD 30,000 - 42,000; Full time

Job summary

Geisinger in Wilkes-Barre, PA is seeking an experienced Patient Access specialist to support front-desk operations and ensure accurate patient registration. The role involves verifying demographics, processing insurance information, collecting fees, and coordinating follow-up appointments in a busy office setting.

You will participate in training, handle multi-channel messages, and maintain medical records with attention to privacy and regulatory requirements.

Responsibilities

• Attends regular developmental training and communicates regular updates to the Patient Access team.
• Assists in training peers, utilizing established guidelines.
• 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.
• Provides kiosk support to facilitate check-in where applicable
• Understands general guidelines and insurance rank requirement to properly assign primary, secondary, and tertiary insurance per encounter.
• Reads and interprets insurance responses.
• 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.
• Independently works work queues to ensure timely resolution of all accounts.
• Maintain productivity and quality performance expectations
• 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.

Job description

• Attends regular developmental training and communicates regular updates to the Patient Access team.
• Assists in training peers, utilizing established guidelines.
• 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. Provides kiosk support to facilitate check-in where applicable
• Understands general guidelines and insurance rank requirement to properly assign primary, secondary, and tertiary insurance per encounter. Reads and interprets insurance responses.
• 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.
• Independently works work queues to ensure timely resolution of all accounts.
• Maintain productivity and quality performance expectations
• 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.