Job Summary:
The Patient Access Associate (PAA)is responsible for ensuring required demographic financial referral and clinical data is collected completed and communicated per related policies and procedures. The Patient Access Associate provides administrative support with a willingness to work closely with patients physicians and other members of the health care team addition the PAAs will check out patients after visits and assist in scheduling patients follow up and testing appointments at the clinics.
Responsibilities:
- Principal responsibilities are to be conducted at the designated physical clinic location encompassing all duties within the clinical setting.
- Greet all patients in a respectful courteous confidential and caring manner upon arrival.
- Performs a variety of clerical and administrative duties related to the delivery of patient care including greeting checking patients in scheduling all followup appointments upon checkout answering phones collecting patient copays and insurance payments processing paperwork and performing other front office duties as required in a fastpaced customeroriented clinical environment.
- Communicates directly with patients and/or families either in person or on the phone to complete the registration process by collecting patient demographics health information and verifying insurance eligibility/benefits.
- Utilizes computer systems to enter access or verify patient data in real time ensuring accuracy and completeness of information.
- Interact positively with patients families and other patient care providers.
- Interview verify and/or update patient/family to obtain patient registration demographic financial and insurance information and accurately enter information into the computer.
- Assign appropriate financial class and insurance plans to patient visit.
- Secure patients signature when applicable (i.e. Medicare waivers financial agreements insurance forms etc.
- Create medical records upon registration if the patient is new to the network.
- Prepare appropriate forms during registration process.
- Collects patient copays as appropriate and conducts conversations with patients on their outofpocket financial obligations.
- Verifies insurance coverage benefits and creates price estimates reverifications as needed.
- Identifies outstanding balances from patients previous visits and attempts to collect any amount due.
- Direct patients and families to appropriate areas of clinics.
- Show awareness of and care in line with the Patients Bill of Rights.
- Responsible for collecting data directly from patients and referring provider offices to confirm and create scheduled appointments for patient services.
- Demonstrates appropriate telephone etiquette; to include but not limited to answering telephone calls in a prompt friendly helpful manner using courtesy title (i.e. Ms. Smith Dr. Jones etc. convey location called identify self by name answer call within three rings and if necessary politely place caller on hold after asking permission.
- All registration paperwork is prepared and forwarded to the Medical Record department for scanning to patients chart.
- Responds to patient and caregivers inquiries related to routine and sensitive topics always in a compassionate and respectful manner.
- Provide cross coverage within the Patient Access Service departments when needed.
- Generates reviews and analyzes patient data reports and follows up on issues and inconsistencies as necessary.
- Obtain insurance authorization as necessitated by insurance providers.
- Gather necessary clinical information and process referrals precertification predeterminations and preauthorize according to insurance plan requirements.
- Perform other duties as assigned.
Required Skills/Abilities:- Customer service skillsverbal and written.
- Organizational and planning skills.
- Ability to handle several tasks simultaneously.
- Proficiency in the use of computers and related softwares such as Microsoft Outlook Word Excel and Power Point
- NextGen knowledge preferred.
Education and Experience:- High School Diploma or GED (required).
- 12 year Insurance verification experience.
Physical Requirements:- Must be able to work an 8hour day with prolonged periods of sitting.
- Must be able to lift up to 15 pounds occasionally.
- This position may require occasional local travel as needed.
Pay: $22.00 $24.00 per hour
Required Experience:
IC