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Patient Access Representative - Orthopedic & Sports Medicine 350 Heritage
Company | Logan Health |
Address | Kalispell, MT, United States |
Employment type | FULL_TIME |
Salary | |
Category | Hospitals and Health Care |
Expires | 2023-06-17 |
Posted at | 1 year ago |
Summary
- Excellent organizational skills, detail-oriented, a self-starter, possess critical thinking skills and be able to set priorities and function as part of a team as well as independently.
- Patient Access (scheduling, registration, financial clearance), insurance verification, billing or certified medical assistant experience preferred.
- Minimum of one (1) year experience in a customer service focus position required.
- Excellent verbal and written communication skills including the ability to communicate effectively with various audiences.
- Related coursework beyond high school or experience in a complex administrative support position required. Previous work experience in registration, financial clearance or patient financial services with strong working knowledge of healthcare insurance and benefit programs preferred. Associate’s or Bachelor’s degree preferred.
- Possess and maintain computer skills to include working knowledge of Microsoft Office Suite and ability to learn other software as needed.
- Possess knowledge and understanding of medical terminology and medical coding preferred.
- Excellent interpersonal skills with the ability to manage sensitive and confidential situations with tact, professionalism, and diplomacy.
- Identifies and refers self-pay patients to financial counseling per department procedure.
- Prioritizes and completes registrations in the order of the patients’ acuity level as determined by the clinical staff and department protocol.
- The above essential functions are representative of major duties of positions in this job classification. Specific duties and responsibilities may vary based upon departmental needs. Other duties may be assigned similar to the above consistent with knowledge, skills and abilities required for the job. Not all of the duties may be assigned to a position.
- Collects and processes payment for current service and any previous balances consistent with the cash management and posting policies.
- Maintains knowledge of: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral, and a list of current accepted insurance plans.
- Launches insurance verification software to verify insurance eligibility and benefits. Calculates and communicates out of pocket liability as appropriate.
- Develops and maintains knowledge and skills to identify insurance plans correctly in systems and understands contract requirements to ensure accurate insurance information.
- Provides administrative services to support effective and efficient operations to assigned area(s).
- Meets productivity, quality requirements, and takes ownership of work to ensure excellent service is provided.
- Proactively communicates issues involving customer service and process improvement opportunities to leadership.
- Interviews patient or family member to gather demographic, insurance and/or visit specific information, and verifies data received from previous visits or pre-registration. Ensures accurate collection and inputs critical data elements.
- Health and Immunizations Screening
- Criminal background check
- Physical Demand Review/Screening
- Drug Screening
- Reference checks
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