Clinic Patient Access Representative

At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.

Job Summary

Assists in coordinating the activities between scheduling, insurance verification and pre-certification. Collaborates with a variety of personnel and departments to ensure smooth clinic operations.

Essential Functions

• Pre-registers/registers patients with accurate patient demographic, financial data. Upon registration, address co-pay, co-insurance, for scheduled appointment/procedure, etc.
• Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival.
• Stays current with insurance requirements.
• Responds to customer’s inquiries in a timely and professional manner.
• Assists with departmental coverage as needed.
• Manages daily appointment schedules which may include reminder calls and calling all referrals.
• Collects co-pays and perform co-pay reconciliation.
• Responsible for scanning and accurately placing documents, results, into the patient electronic medical record.
• Responsible for reviewing the patient electronic medical record in advance of patient appointment to assure that all required documents are in place.
• Establishes priorities and accomplishes task in a timely manner.
• Performs other duties as assigned.

Education

• High School Diploma/GED diploma.

Experience

• One year customer service experience.
• Experience using Microsoft Office applications, including Word, Excel and Outlook.
• One year of medical office or related experience.
• Demonstrated knowledge of Medical Terminology and CPT/ICD9 coding.
• Knowledge of insurance process and regulations.

Education

• High School Diploma/GED diploma.

Experience

• One year customer service experience.
• Experience using Microsoft Office applications, including Word, Excel and Outlook.
• One year of medical office or related experience.
• Demonstrated knowledge of Medical Terminology and CPT/ICD9 coding.
• Knowledge of insurance process and regulations.