FTE Patient Access Representative I

Patient Access Representative I

Our patients are our number one priority! We're committed to giving children back their childhood!

Location : Frisco - Ambulatory Surgical Center

Monday - Friday

40 hours per week, discretionary per supervisor.

Duties / Responsibilities

• Manages a high volume of incoming and outgoing telephone calls
• Responsible for completing assigned workqueues
• Accurately schedule and re-schedule patient appointments in a timely manner
• Effectively communicate and coordinate patient appointments with downstream departments
• Contacts families to verify their information, insurance coverage, explain benefit eligibility, and refer families to financial counselors to enroll in financial assistance
• Accurately pre-register specific data elements prior to the patients scheduled date of service
• Perform all aspects of insurance verifications
• Add insurance coverage and update the billing system to reflect the insurance status of the patient
• Obtain authorizations and pre-certifications as required for all procedures; work with clinical staff to obtain additional clinical information for benefit review
• Responsible for all correspondence from Insurance companies to be sent to HIM for scanning
• Provide clerical and administrative support as required
• Create reports for tracking and trending purposes
• Alter provider schedule template in electronic medical record (EMR)
• Assist with departmental coverage as requested

Required Skills / Abilities