Description:
Summary
The Patient Access Representative role has a full understanding of the entire revenue cycle and addresses a variety of patient inquiries. This role is important in achieving excellent patient satisfaction results. The Patient Access Representative role is critical in optimizing patient collections, maintaining accurate balances of patient accounts, and reducing outstanding receivables.
Responsibilities
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Answer all incoming patient calls to the Revenue Cycle central business office
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Explain all financial balances to patients as required
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Answer all billing inquiries from patients to ensure their full understanding of financial obligations
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Collect patient balances
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Run credit card payments received in the central business office
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Provide payment options to patients which includes budget plans and/or the financial hardship process
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Identify, correct and/or communicate errors on claims to applicable Revenue Cycle teams and/or Clinic offices
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Ensure timely resolution and follow up communication to patients
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Other duties as assigned
Requirements:
Required Skills
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Accounts Receivable knowledge, minimum 1 year
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Adheres to organizational policies and procedures, including Corporate Compliance Program, HIPPA regulations
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Knowledge of Medicare, Medicaid, HMO/PPO/EPO, Work Comp and Commercial Insurance operating procedures
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Ability to effectively correspond and interact with patients, insurance payers, co-workers, management, and providers both written and verbal
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Exhibit teamwork and a positive attitude in the workplace
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Skilled in planning/organization, follow up, delegation, problem solving, and stress tolerance
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Ability to work in a fast-paced environment
Qualifications
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High School Diploma or Equivalent
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Minimum 2 years experience in Healthcare Revenue Cycle
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Professional communication and proven excellence in customer service
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.