| Requisition Number |
16-0025 |
| Post Date |
2/1/2016 |
| Title |
Patient Access Representative |
| City |
Cross Roads |
| Location |
Crossroads 3201 Highway 380, Suite 101, Cross Roads, TX 76227 |
| Description |
JOB TITLE: Patient Access Representative I (PAR I)
GENERAL SUMMARY OF DUTIES: Responsible for general clinic office functions that support efficient and effective patient care including patient registration, insurance verification, collection of applicable co-insurance and/or co-payments and scheduling of diagnostic and follow-up appointments.
SUPERVISION RECEIVED: Reports to Office Supervisor/Office Administrator/Practice Administrator SUPERVISION EXERCISED: None.
ESSENTIAL CHECK-IN FUNCTIONS
Patient registration to include all new patient data entry and updates to existing patient accounts. Relay necessary messages to clinical staff with regards to patient’s appointment.
Verification of patient insurance coverage to include eligibility and benefits. Documentation of benefit verification in patient’s electronic file as appropriate. Confirmation of active referral on file for scheduled appointment.
Collection of applicable co-payments and collections of outstanding balances as documented by the CBO from patients upon check-in per company protocol. Posting of patient payments in computer system.
Balance receipts daily and reconcile daily work processes. Completion of bank deposit slips to correspond with daily receipts. Immediate notification to supervisor of any discrepancies in balancing procedures.
Maintain physician’s schedules ensuring that patients are scheduled properly. Rescheduling of patients as necessitated due to schedule changes.
Answer back-line telephone calls, re-direct calls as appropriate, assist callers with questions or concerns and take messages as needed. Sorting of documents received via facsimile and distribution of incoming postal mail.
Scanning of all patients’ (demographic) paperwork to patient chart and assist with batch scan filing.
ESSENTIAL CHECK-OUT FUNCTIONS
Scheduling of all follow-up appointments with physicians and coordinate scheduling of diagnostic testing as ordered by physician.
Initiation of Precertification Task for all diagnostic testing scheduled. Submission of Task to insurance department for completion of insurance authorizations per company protocol.
Collection of applicable co-insurance from patients upon checkout per company protocol. Posting of patient payments in computer system.
Balance receipts daily and reconcile daily work processes. Completion of bank deposit slips to correspond with daily receipts. Immediate notification to supervisor of any discrepancies in balancing procedures.
Maintain physician’s schedules ensuring that patients are scheduled properly. Rescheduling of patients as necessitated due to schedule changes.
Answer back-line telephone calls, re-direct calls as appropriate, assist callers with questions or concerns and take messages as needed.
ESSENTIAL eChart Prep FUNCTIONS
Review of all patient demographic forms on file for scheduled patients. Identification of forms needing to be updated by patients coming in for appointments at least 48 hours prior to scheduled appointment. Preparation of patient packets to be available to PAR at check-in upon patient arrival.
Verification of patient insurance coverage to include eligibility and benefits. Documentation of benefit verification in Practice Management system as appropriate.
Retrieval of updated referrals for scheduled appointments as mandated by patient’s insurance plan. Notification to patient of all pending referral requests.
Review of patient’s last progress note and identification of any diagnostic testing results that should be on file for physician review during appt. Retrieval of any missing test results prior to patient’s appointment. This task is sometimes completed by clinical personnel and varies by team.
Maintain physician’s schedules ensuring that patients are scheduled properly.
Rescheduling of patients as necessitated due to schedule changes.
Back-up for front desk to as dictated by patient volume.
Answer back-line telephone calls, re-direct calls as appropriate, assist callers with questions or concerns and take messages as needed.
ESSENTIAL SCANNING/MEDICAL RECORDS FUNCTIONS:
Scanning of all patient records to appropriate electronic patient chart. Label all documents according to abbreviation grid per company protocol. Process to include detailed review and compliance with regards to whether document should be tasked for physician and nurse verification.
Identification of hospital records that do not match a corresponding electronic patient file and communication with physician regarding billing for any unmatched documents.
Processing of medical records requests per company protocol. Compliance with requirements for requests in writing only and with physician approval as defined in company policies. Ensure that information requests are handled timely and in accordance with relevant statutes.
Back-up to reception staff as dictated by patient volume.
Answer back-line telephone calls, re-direct calls as appropriate, assist callers with questions or concerns and take messages as needed. |
| Requirements |
ESSENTIAL GENERAL REQUIREMENTS
Maintains strictest confidentiality and HIPAA compliance.
Gets along well with others. Conducts themselves in a professional and courteous manner at all times with coworkers, patients, physicians, vendors, and others.
Participates in all other communal job duties necessary for functioning of the office.
Attend meetings as required.
For bilingual speaking employees, act as translator to assist patients and others that may have a need.
The jobholder must demonstrate competencies applicable to the job position.
EDUCATION: High school diploma or GED.
EXPERIENCE: Minimum of one year of medical business office experience preferred. Excellent customer service skills, computer skills, CPT and ICD-9 coding, and general knowledge of medical terminology required.
Familiarity with medical billing, collection procedures and prior experience with EMR computer applications preferred.
KNOWLEDGE:
Knowledge of patient registration procedures.
Knowledge of medical terminology.
Knowledge of grammar, spelling, and punctuation to type patient information.
SKILLS:
Skill in operating a computer, copy machine, fax machine, scanner and multi-line telephone.
Skill in multi-tasking and preparedness to cover other front office functions as necessary.
ABILITIES:
Ability to speak clearly, concisely and compassionately.
Ability to read, understand and follow oral and written instruction.
Ability to establish and maintain effective working relationships with patients, employees, and the public.
PHYSICAL/MENTAL DEMANDS: Work requires hand dexterity for computer, telephone and other office machine operation, stooping and bending for supplies, sitting for extended periods of time. Prolonged computer use may cause eyestrain.
ENVIRONMENTAL/WORKING CONDITIONS: Work is performed in an office environment and involves frequent telephone and consistent face-to-face contact with patients. Work may be stressful at times. Interaction with others is constant and interruptive. Individual may be required to travel to other locations for coverage as dictated by need. Contact involves dealing with sick people.
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.
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