Patient Access Rep - Float - Full Time - Highline Region/Admin Office - (FMG19126)

Mô tả công việc

Job Summary:    Performs a variety of general administrative support duties associated with the patient intake process for the Franciscan Medical Group (FMG) outpatient clinics in accordance with established internal guidelines and procedures.  Incumbents typically interact with patients directly at the front desk and/or on the phone to perform follow-up activities.  Work includes:  1) ensuring patient is checked in/out for care, 2) collecting and entering demographic and financial data in the patient’s electronic medical record; 3) gathering/validating insurance information using routine methods and obtaining authorization for services, 4) scheduling patient appointments, and 5) collecting co-pays, co-insurance and prior balances.  Work requires knowledge of insurance authorization/billing requirements and privacy/confidentiality practices, as well as knowledge of medical terminology and the patient intake process.  An incumbent follows proper channels of communication in handling daily and routine problems and recognizing issues that need referral to management.  Strong customer service skills are necessary. This job exists in multiple locations, and while there may be minor differences in job content, they are not significant for classification purposes.  Overall, the nature of the work and job requirements is consistent between locations. An incumbent is located either behind-the-scenes, interacting with patients on the phone or at the front desk, interacting with patients directly.    Essential Duties:   Registers and/or checks patients in/out. Performs patient check-in at the time of visit; records and verifies all demographic, insurance and other information (e.g. Workers’ Comp, other third-party liability info); follows established procedures to ensure that all registration guidelines/requirements have been satisfied, including ensuring minors’ guardians have been notified; identifies deficiencies and resolves non-complex issues or escalates to appropriate staff for further action. Conducts routine insurance eligibility verifications Copies/scans patient access related hardcopy materials (e.g. ID, referrals, L&I, insurance cards, etc.) into correct location in electronic medical record Records non-clinical charges from various sources. This could include entering charges for the completion of forms, for Depositions/Attorney Fees, for retail fees, etc. Schedules appointments and ancillary services. Schedules (and reschedules as necessary) patient clinic visits (based on authorized referral in the case of specialty clinics) in accordance with established standards and procedures; gathers and documents insurance eligibility data, conduct eligibility verification based on established policies.  Identify patients requiring contact to confirm an existing appointment, and/or to schedule a periodic future visit; contacts patient in accordance with established procedures. Contacts and follows up with patients to reschedule a missed/cancelled appointment; documents reason(s) for no-show in accordance with established procedures; notifies management if patient is non-compliant and further action is required. Makes arrangements for addressing special/ancillary patient requirements, including transportation, interpreters and other needs relating to patient care and satisfaction. Handles and reconciles payments. Collects appropriate co-payments, co-insurances, and other fees/monies due, including cash payments (in accordance with FMG Business Office Cash Handling Procedures); posts payments to patient accounts. Collects payments at the time of check-in or check-out where appropriate.  Performs end-of-day payment reconciliation; balances and closes out cash drawers; ensures that outstanding tasks are completed and that preparation work for the next day’s clinic is completed or assigned to other staff. Continually monitor and reconcile issues prior to patient visit. Identifies and reconciles remaining issues before patients arrive for their appointment.  Makes registration and other front-end corrections. Ensure that all missing/erroneous/incomplete information is updated. Ensure that all insurance eligibility checks are conducted where possible. Distributes materials and responds to patient questions regarding routine billing and insurance matters. Provides patient with pre-visit prep materials; packages materials to correspond with type/nature of patient appointment and sends to patient in a timely manner. Provides basic information in response to patient questions on billing and insurance matters; obtains a non-complex cost estimate when requested; refers questions regarding more complex cost estimates/benefits information to Financial Counselor.  Other: Performs related duties as required.