Patient Access Representative

Must Have:

Candidate must be reliable and able to show up for all assigned shifts

Clean-cut appearance

Excellent communication skills, including the ability to speak, read, and write proficient English

Strong phone skills and ability to build rapport

In - depth knowledge using computers and familiar with medical terminology

In - depth knowledge of all insurance types, including HMO, PPO, and government health programs

Job Description: 

Provide front office support for ophthalmology multispecialty group practice including greeting patients, performing patient check-in/out processes, assuring patients are appropriately registered and insurance information is accurate.

Uphold smooth patient flow throughout the front office experience to ensure efficiency and effectiveness. 

Demonstrate exemplary customer service.

Act as a liaison between the front office and communications’ center.

In addition, provide administrative support including collecting patient payments, performing insurance verification, scheduling patient follow-up appointments and/or ancillary testing, obtaining records/authorizations, and creating encounter(s) in patient registration system(s).

Daily interactions with staff, supervisor, and doctors, as well as periodic meetings with senior operations manager.

Incumbent is expected to work with minimal supervision; periodic and regular progress checks are performed to evaluate and adjust workload accordingly.

Skills/experience:

Minimum Education: High school graduate

Acts as a patient navigator by assisting the patient with insurance related issues and assuring a patient has coverage and authorization to be seen for care. 

Obtains authorizations, calls for benefits, opens cases with insurance companies, counsels patients on obtaining 100% active coverage and establishes/maintains active relationships with medical groups and insurance companies. 

Reviews health insurance plans with patients in clinic and by telephone. 

Minimum Level of Expertise: 

Must have excellent communication skills, including the ability to speak, read and write proficient English. 

Must have excellent phone skills and rapport. 

Must be comfortable with computers and medical terminology. 

In depth knowledge of all insurance types, including HMO, PPO and government health programs.

Medical Enterprise - Non-Clinical Onboarding - Must complete all onboarding requirements prior to the start date, with no exceptions.

Medical Enterprise - Non-Clinical Onboarding Requirements:

Background, Education, and Employment

Education:

HS Diploma (or equivalent – GED)

Employment:

Verification of 3 Employers, with 2 out of 3 verified

Other Requirements:

HIPAA Training

Application

Temporary Worker Agreement

Harassment & Discrimination Pamphlet

Medical Requirements:

Immunizations:

MMR (Measles, Mumps, Rubella): Proof of immunity or series of 2 shots

Varicella (Chickenpox): Proof of immunity or series of 2 shots

Hepatitis B: Proof of immunity or series of 3 shots; worker can decline with a declination form on file

TB Test:

Annual test required; results must be read within 24 to 48 hours

Positive TB history requires chest x-ray results

Drug Screen:

Must be taken within 72 hours or the offer is rescinded.

10-panel drug test including:

Amphetamines

Barbiturates

Benzodiazepines

Cocaine metabolite

Opiates (Codeine, Morphine)

Hydrocodone

Hydromorphone

Oxycodone

Phencyclidine

Methadone

Propoxyphene

Influenza Vaccination:

Required for the current flu season (11/1 through 5/30)

Workers starting after May 1st should wait until after September 1st for the next flu shot season

Accepts signed personal/medical exemption

Education: High School