Patient Access Representative

About This Role

The Patient Access Representative supports the OMRF Multiple Sclerosis Center of Excellence by handling customer service, administrative tasks, patient access and records, insurance and billing, and clinic operations. This role is ideal for a compassionate individual who thrives in a fast-paced environment and is looking to gain experience before starting a clinical graduate program.

Responsibilities

• Answer and correctly route all incoming calls and respond appropriately to inquiries and requests for information
• Maintain clinic schedule including setting patient appointments, confirming appointments with reminder calls, and amending provider schedules according to availability
• Greet patients and other individuals with clinic business
• Direct patients and/or visitors to various clinic areas
• Prepare and send general correspondence and patient letters as directed by providers and/or clinic manager
• Receive and distribute mail
• Monitor office supplies in work area to ensure adequate inventory level and advise supervisor of malfunctioning office equipment
• Enter patient information on all new patients as well as periodic updating of established patient accounts
• Consistently obtain and copy/scan insurance cards and IDs
• Maintain patient charts and medical records
• Ensure completion of and obtain signatures on all necessary forms and documents required by clinic and by law
• Schedule referrals as directed by the providers to other physicians and/or ancillary services
• Process incoming and new patient referrals
• Utilize online programs to verify insurance eligibility and benefits, documenting findings on the patient account
• Contact insurance companies for pre-authorizations and pre-certifications as required prior to patient receiving services
• Review insurance verification and advise patient of third-party benefits
• Explain third party and self-pay portion of bills to patients and/or guarantor
• Collect copayment
• Communicate in a professional manner to patients regarding all outstanding balances
• Evaluate financial status of patient’s accounts, initiate and make payment arrangements, and maintain a continuous follow up process on all accounts to minimize loss in revenue
• Log cash collected, generate receipts, and maintain balanced cash at all times
• Gather and route billing information appropriately and manage billing work queues and inquiries
• Open and close the clinic
• Assure cleanliness and organization of waiting room
• Perform other related duties as assigned that correspond to the overall function of this position

Requirements