Patient Access Representative
Temp-Hire
Pay: $23-$26/hr
Hours: 5:30am-2:00pm, Monday-Friday
Location: Woburn MA
Summary:
The Patient Access Representative (PAR) greets patients and performs patient access functions to expedite patient flow and enhance the patient experience. The Patient Access Representative is responsible for the registration of all patients accessing services with emphasis on patient access/satisfaction, insurance/demographic verification and accuracy, obtain precertification and point of service collection, while maintaining confidentiality, professionalism and ethics continuously.
Essential Job Functions
- Greets and directs patients and visitors in person and over the phone utilizing AIDET principles.
- Provides information regarding services, clinic location information and additional assistance as required.
- Accurately identifies patient and registers patients while maintaining regulatory and functional knowledge of all information required to register patient types in database which ensures timely & accurate reporting/billing.
- Explains and secures consent for all registration forms including general consent forms, MSPQ, notice of privacy practices, patient rights and responsibilities, EMR enrollment etc.
- Distributes patient related materials and obtains patient or authorized representatives signature on all insurance waivers and other financial forms such as Estimate Patient Responsibility Letters as applicable.
- Collects patient owed cost sharing amounts (copays, deductibles, coinsurance, full costs [non-covered/self-pay] in accordance with Policy and Procedures as well as insuring the completion of pre-authorizations and referrals prior to services rendered. Reconciles cash drawer at end of shift.
- Acquires precertification and authorization status on all applicable services, such as in-office procedures, Outpatient services, Tests, Evaluations or Pharmacy Services.
- Utilizes insurance verification tools to accurately verify patient’s insurance/financial information and annotate accounts with insurance coverage.
- Coordinates and schedules appointments, selects appropriate referral, provider, visit type and location to expedite patient access to care, minimizes no shows and maximizes reimbursement.
- Contact patients for payment of account or payment arrangements according to current policy.
Minimum Qualifications
- High School Diploma, GED or equivalent.
- Minimum of two (2) years of experience in a Patient Access/Patient Accounting role or medical office setting.
- Knowledge of medical billing, insurance claims procedures and documentation.
- Experience using Microsoft Professional Office Suite including, Word, Excel and Outlook.