Patient Access Representative

Overview

Performance Staffing is seeking multiple Patient Access Representatives for one of our medical facility clients. This position is responsible for:

  • Verification and collection of patient demographic and insurance information through direct data entry to an electronic medical record during the processes of scheduling, pre-admission, and admission processes.
  • Conducting patient interviews to secure information specific to requested services, accurately documenting the discussion and other registration activities during the patient encounter.

This role is critical in ensuring that all patient interactions are positive, efficient, and HIPAA-compliant. The ideal candidate will have excellent communication skills and the ability to work well in a fast-paced environment.

Position Information

This position will start as a temporary full-time position and has the potential to transition to a full-time permanent position.

This position will work four 12-hour shifts per week, working 4 days a week and then off for 3 days off. There are two shifts: 6 a.m. to 6:00 p.m. and 6:00 p.m. to 6:00 a.m. Employees will rotate between these two shifts.

Duties and Responsibilities

  • Accurate identification and direct data entry for required patient information such as clinical, demographic, and insurance information.
  • Provide information and general explanation of scheduled procedures, as well as provides instructions, to patients regarding diagnostic medical services.
  • Ensures system documentation specific to the patient’s visit is documented accurately and that it reflects activities related to patient or provider contact, order documentation, insurance verification, financial education, and payment.
  • Provide explanation of legal forms and secures signature of patient or authorized party as required for services.
  • Accurately identifies and selects insurance carriers in the patient medical record for specified dates of medical services.
  • Performs required notifications to ensure insurance authorization for identified medical services, surgical procedures, and inpatient/observation stays are secured and documented.
  • Educates the patient on insurance eligibility, coverage, and availability of medical financial assistance program(s).
  • Collects identified patient financial liabilities, performs secured payment entry and deposit/cash reconciliation steps.
  • Performs PBX / Switchboard functions as required by answering and routing internal and external calls, paging codes and fire alarms, and handles department call volumes as assigned to appropriately respond to requests from patients, providers, and other medical departments.
  • Acts as a resource for clinical departments for registration and scheduled services related to data entry of patient account fields, provider order requirements, and questions regarding insurance coverage or financial assistance.

Requirements and Preferences

  • Ability to navigate web-based applications required for registration and scheduling.
  • Demonstrates basic understanding of compliance standards required within a healthcare environment including the Emergency Medical Treatment and Labor Act (EMTALA) and The Health Insurance Portability and Accountability Act (HIPAA), specifically regarding HIPAA Privacy Patient Confidentiality regulations.
  • Demonstrates basic knowledge of CPT and ICD10 diagnosis coding documentation as required for medical services.
  • Demonstrates basic knowledge of regulatory or Third-Party Payer insurance requirements including Medicare, AHCCCS/Medicaid, Worker’s Compensation, and other commercial payers.
  • Possesses the technical skills and knowledge required to perform essential tasks in an efficient and effective manner.
  • Demonstrates willingness and ability to train or coach others in the technical arena.
  • Communicates effectively and appropriately while using good judgement as to what to communicate to whom as well as the best way to get that accomplished.
  • Demonstrates a commitment to attention to detail and accuracy.
  • Demonstrates the ability to take a proactive approach to anticipating and preventing problems.
  • Ability to utilize time management skills as well as the ability to be flexible depending on urgency or changes in priority.
  • Ability to identify customer and patient needs and expectations, and respond to them in a timely manner.
  • Ability to be an effective team player who adds complimentary skills and contributes valuable ideas, opinions, and feedback to the team.
  • Ability to communicate in a positive and candid manner, and able to be counted upon to fulfill any commitments made to other team members.
  • Demonstrates at least one year in a customer service role.
  • Demonstrates proficiency in Microsoft Applications (Word, Excel, PowerPoint).

Preferences

  • Two years in a medical facility, health insurance or other related medical field

Education

  • High School Diploma or GED required

Job Types: Full-time, Temporary

Pay: Depends on Experience

Expected hours: 40-48 hours per week

Schedule:

  • 4 days x 12-hour shifts
  • Rotating shift

Experience:

  • Microsoft Powerpoint: 1 year (Required)
  • Microsoft Excel: 1 year (Required)
  • Customer service: 1 year (Required)

Ability to Commute:

  • Flagstaff, AZ (Required)

Ability to Relocate:

  • Flagstaff, AZ: Relocate before starting work (Required)

Work Location: In person

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