Job Description
The Clinic Access Rep 1 is responsible for accurately registering patients in EMR including validating patient information, verification of insurance coverage, collection of required payments and ensuring the patient's experience is best in class.
Relies on established guidelines to accomplish tasks. Works under close supervision.
Responsibilities
Customer Service : This will have been satisfactorily performed when : Patients are courteously and appropriately advised of the collection and billing procedures and anticipated charges so as to assist patients in their understanding their liability and responsibility regarding their payment as evidenced by less than 5 complaints a year.
All patients / families are courteously welcomed and greeted to the clinic as evidenced by lack of complaints.Questions & concerns from patients and / or family members are answered / addressed in an appropriate manner as evidenced by lack of customer complaints.
Patients are informed of their rights and Advance Directives upon request.Patient and insurance information is accurately obtained and edited as necessary in the clinic's computer system, as evidenced by information is accurate at all times.
Patient Flow : This will have been satisfactorily performed when : Documentation related to patient referrals is accurately processed at all times.
Patient appointments are scheduled and rescheduled as appropriate as evidenced by effective patient flow through the clinic at all times.
A variety of clerical duties (answers telephone calls, retrieves medical records, records data, types memorandums, are efficiently completed in a timely and efficient manner at all times.
Current patient charts / files and appropriate information are accurately filed as evidenced by ease of the file retrieval process.
Payor Regulations : This will have been satisfactorily performed when : Claim edits and denials are researched and discrepancies resolved within 2 days of notification.
All information for completing the billing process, including charge information from the physician is researched and discrepancies resolved within 2 days of receipt.
Charges are keyed and batches processed daily, and bank / deposit summary is prepared immediately after balancing payment to receipts.
Diagnosis and procedures codes are reviewed for accuracy and data is entered into the system at point of service as evidenced by up-to-date records at all times.
Patient payments for services rendered are verified and collected from patient 100% of the time; Account balances are verified, and the outstanding balance collected from patient and the daily cash fund reconciled daily.
A general knowledge of the health plans, including co-pays, deductibles and co-insurance is maintained at all times.
Other Duties As Assigned : This will have been satisfactorily performed when : Other duties as assigned are completed.
Acts as a backup for others in the clinic as needed.
Qualifications
- 6 months experience in a customer service / front desk role or a graduate of a front office / medical office program. Bachelor's degree may substitute for experience.
- High School Diploma or Equivalent
- Professional demeanor, excellent customer service skills, ability to multi-task, critical thinking, demonstrated computer literacy, ability to learn and demonstrate proficiency in Epic during the introductory period.
Per Diem-rep, Patient Access I Lak-only Fri And Sat Shift
Who We Are UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Ca...
Patient Access Rep Ii - Per Diem, Variable (east Los Angeles)
The Patient Access Rep II arranges for the efficient and orderly admission of all inpatients and outpatients. Ensures that accurate patient information is collected and that patients are aware of hospital policy and procedures. Prior to entering patient information into Optimum verifies the medical ...
Patient Access Rep III - Patient Access Contact Center - 8-Hour Day Shift | Cedars-Sinai Medical Center
Req ID : 1991 Working Title : Patient Access Rep III - Pain Management - 8-Hour Day Shift Department : CSRC Sched Reg Patient Access Business Entity : Cedars-Sinai Medical Center Job Category : Administrative Job Specialty : Admissions/Registration Overtime Status : NONEXEMPT Primary Shift : Day Shi...
Patient Access Rep Ii - Per Diem, Variable (culver City)
The Patient Access Rep II arranges for the efficient and orderly admission of all inpatients and outpatients. Ensures that accurate patient information is collected and that patients are aware of hospital policy and procedures. The hospital offers a wide range of inpatient and outpatient acute care ...
Patient Access Rep I - Registration & Ops - 8-Hour Shift
The Patient Access Rep I performs all admissions activities for pre-admit and face-to-face registration of patients presenting to the Main Admissions and/or outpatient areas for treatment. As a Patient Access Representative, you are the face of Cedars-Sinai and can make a difference for our patients...
Patient Access Rep I - Per Diem, Variable (van Nuys)
The Patient Access Rep I arranges for the efficient and orderly admission of all inpatients and outpatients. As an acute inpatient and outpatient psychiatric facility, Southern California Hospital at Van Nuys provides services designed to help a patients psychological well-being. Ensures that accura...
Patient Access Rep I - ED and L&D- Registration & Ops - Part-Time, 8 Hour, Evenings, Weekdays & Weekends
The Patient Access Rep I performs all admissions activities for pre-admit and face-to-face registration of patients presenting to the Main Admissions and/or outpatient areas for treatment. As a Patient Access Representative, you are the face of Cedars-Sinai and can make a difference for our patients...
Patient Access Rep III Emergency Department - PART TIME EVENINGS
In this role, the individual will be expected to float to all areas within Patient Access. This role is responsible for working with physician offices, Huntington's ancillary departments, Case Management, and Business Office to provide an exceptional patient experience. Greets patients with a courte...
Senior Patient Service Rep - The Angeles Clinic & Research Institute
The Senior Patient Service Rep is responsible for positive patient relations, accurate telephone communication, appointment scheduling, patient registration, as well as payment and co-payment collection. Three (3) years of Patient Service Representative or Medical Assistant experience in an outpatie...
Patient Access Rep III Emergency Department - PART TIME EVENINGS
In this role, the individual will be expected to float to all areas within Patient Access. As part of our commitment to providing equitable, high-quality care to all members of our community, we embrace differences and work hard to create a place of belonging for our patients and our employees. This...