Patient Access Representative

1 week ago

Kelowna, British Columbia, Canada CommuniCare Health Services Full time

Job Address:

1599 Alum Creek Dr
Columbus, OH 43209

Patient Access Representative
You have skills and great ideas. Put them to use as part of the New Vista Behavioral Health team We encourage our team members to take an active part in improving the care and service we provide. If you have a superior level of customer service, the ability to greet our patients with a smile whether on the phone or face-to-face, and a passion for taking care for people, this is the position for you
Responsibilities:

  • The Patient Access Representative is most often the first point of contact for our patients and therefore must represent New Vista Behavioral Health with the highest standard of customer service, compassion and perform all duties in a manner consistent with our mission, values and service standards.

  • The Patient Access Representative will facilitate all components of the patient's entrance in to any New Vista facility. This may include scheduling, registration, benefit verification, pre-certification and financial clearance including pre-visit collection.

  • The Patient Access Representative will be responsible for ensuring that the most accurate patient data is obtained and populated into the patient record. This team member must have an exceptional attention to detail and maintain knowledge and competence with insurance carriers, Medicare guidelines as well as federal, state and accreditation agencies.

Essential Functions

  • Documenting insurance information, personal information, payment methods and other important patient information

  • Contacting insurance companies regarding coverage, preapprovals, billing and other issues

  • Processing and collecting out of pocket payments from patients, including deductibles, co-pays, and co-insurance

  • Handling billing issues between patients and insurance companies

  • Answering the phone to address patient billing inquiries and

  • Communicating information and important details to other medical care staff

  • Managing various types of paperwork and other clerical duties

Experience and Education Requirements:
Minimum:

  • High School Diploma / GED

  • Associates Degree in Healthcare, Financial or related area preferred. Equivalent combination of education and relevant experience may be accepted

  • Proven skills in Microsoft Office, specifically Excel and Word, Windows based applications, and 10 key calculator with high level of quality outcomes

  • One year experience in hospital or clinic financial, registration, scheduling or insurance authorizations areas

Preferred:

  • Working knowledge of CPT, HCPCS, ICD-10, medical terminology, anatomy, and insurance plans

Minimum skills, knowledge and ability requirements:

  • Ability to communicate effectively both orally and in writing, excellent telephone etiquette required.

  • Ability to establish and maintain positive working relationships with patients, physicians, clinical and non-clinical hospital staff and insurance companies.

  • Strong organizational skills; attention to detail.

  • Work independently in a self-directed, non-confrontational, collaborative manner.

  • Customer focus: promotes positive internal and external relationships by actively seeking and being responsive to customer feedback.

  • Ability to support and participate in continuous quality improvement projects.

  • Ability to work under stress, meet deadlines and perform all daily assignments with a high level of accuracy.

  • Knowledgeable and experienced with various computers systems; Ability to use a 10-key calculator and computer keyboard.

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