Patient Access Representative - Specialty Clinics

Geisinger; Pennsylvania; On-site; USD 35,000 - 50,000; Full time

Job summary

A leading healthcare provider in Pennsylvania seeks a detail-oriented professional to manage patient check-ins, verify insurance information, and schedule appointments. This role is vital for ensuring a smooth patient experience and may involve interacting with various insurance providers. The organization offers comprehensive benefits and values diversity within its team.

Benefits

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

Generous PTO accrual

Up to $5,000 tuition reimbursement annually

Employee Assistance Program (EAP)

Responsibilities

• Responsible for checking patients in and verifying demographics.
• Communicates financial obligations to patients and collects fees.
• Schedules follow-up appointments and handles insurance communications.

Skills

Communication

Confidentiality

Customer Service

Time Management

Job description

Job Responsibilities:

1. Responsible for checking patients in for appointments and accurately verifying demographics.
2. Ensures all check-in procedures are completed, monitors patient wait times, and communicates changes to patients as necessary.
3. Reads and interprets insurance responses.
4. Understands general guidelines and insurance rank requirements to properly assign primary, secondary, and tertiary insurance per encounter.
5. Ensures patients receive necessary disclosures and privacy information, and obtains necessary legal and financial signatures.
6. Communicates financial obligations to patients and collects fees at the time of service as appropriate.
7. Completes all necessary regulatory forms with patients, explaining their purpose.
8. Schedules follow-up appointments, including any specialty or ancillary services, to complete the patient's visit.
9. Processes multi-channel messages related to patient and/or physician requests regarding appointments, referrals, prescriptions, and complaints.
10. Notifies patients or guarantors of anticipated financial responsibilities, including copays, deductibles, or coinsurances, and collects accordingly.
11. Performs cash posting following department guidelines.
12. Adheres to organizational and HIPAA guidelines, maintaining patient confidentiality and rights.
13. Works independently on work queues to ensure timely resolution of all accounts.
14. Maintains productivity and quality performance standards.
15. Maintains a high regard for confidentiality.
16. Performs accurate medical record maintenance and releases.
17. Assists with referrals and pre-certifications during encounters.
18. Utilizes and maintains patient recall and reschedule lists properly.

Work Environment and Organizational Commitment:

Work is typically performed in an office environment. The employee is accountable for fulfilling all job-specific obligations and complying with organizational policies and procedures. These statements are not exhaustive but represent the essential elements necessary for successful job performance.

About Geisinger:

Geisinger cares about its patients, members, and employees. We offer a competitive compensation and benefits package to support your health, financial stability, and personal and professional growth. We are committed to diversity and inclusion. Learn more at https://jobs.geisinger.org/diversity.

Benefits of Working at Geisinger:

• Full benefits (health, dental, vision) starting on day one
• Three medical plan options, including expanded networks for out-of-area employees and dependents
• Pre-tax savings plans with healthcare and dependent care FSAs and HSA
• Company-paid life insurance, short-term and long-term disability coverage
• 401(k) plan with automatic contributions
• Generous PTO accrual
• Up to $5,000 tuition reimbursement annually
• MyHealth Rewards wellness program
• Family-friendly support including adoption, fertility assistance, parental leave, and discounted backup care
• Employee Assistance Program (EAP) for childcare, eldercare, legal guidance, mental health, and more
• Voluntary benefits including accident, critical illness, hospital indemnity, identity theft, and pet and legal insurance