Patient Access Representative

Responsibilities:

• Oversees the process of incoming patient orders, verifying order is valid, and adds the order information to the tracking spreadsheet.
• Obtains current, complete, and accurate demographics at pre-registration and registration.
• Verifies or obtains insurance eligibility and collaborates with pre-service team to obtain prior authorization for walk in patients.
• Offers financial assistance as appropriate and provides patient form to complete.
• Completes all necessary forms in association with securing payments.
• Complies with all payer regulations and requirements.
• Completes medical necessity review along with all applicable documentation – ABN or Notice of Non-Coverage
• Assist with patient scheduling, as necessary.
• Serves as back up to the Patient Access Support functions (i.e., switchboard operator, mail processing)
• Identifies problems and offers constructive suggestions for improvement within department with the Patient Access Manager in a private setting.
• Performs other duties and responsibilities as assigned.

Position Requirements:

• 1+ years of experience in customer service and/or clerical role preferred.