Patient Access Representative - Primary Care

Responsible for front line support to the department. Coordinates and performs front line office activities in an effective and efficient manner for the department. Greets and registers incoming patients, supports the patient check out process and schedules future appointments as applicable. Responsible for checking patients in for appointments and accurately verifying demographics. Assures all check-in procedures are completed and monitors patient wait times, communicating changes to the patient as necessary. Reads and interprets insurance responses. Understands general guidelines and insurance rank requirement to properly assign primary, secondary, and tertiary insurance per encounter. Ensures patient receives necessary disclosure and privacy information, obtains necessary legal and financial signatures. Communicates financial obligations to patients and collects fees at time of service as appropriate. Communicates the purpose of and completes all necessary regulatory forms with patient. Completes patient's visit by scheduling any necessary follow up appointments to include any specialty or ancillary services as possible. Processes multi-channel messages related to patient and/or physician requests regarding: appointments, referrals, prescriptions, and complaints. Notifies patient or guarantor of anticipated financial responsibility including copays, deductibles, or coinsurances and collects accordingly. Performs cash posting following department guidelines. Abides by organizational and HIPAA guidelines, privacy practices, patient confidentiality and patient rights. Independently works work queues to ensure timely resolution of all accounts. Maintain productivity and quality performance expectations. Must maintain high regard for confidentiality. Accurately performs medical record maintenance and releases. Assists with referrals and pre-certifications, at the time of encounter. Properly utilizes and maintains patient recall and reschedule lists. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.