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Job Posting Title:

Patient Access Representative PRN - Therapy Services

Location:

Frisco - Ambulatory Surgical Center

Additional Posting Details:

20 hours per week dedicated to 2nd shift, 3-7 pm M-F.

Job Description:

Duties/Responsibilities

• Manages a high volume of incoming and outgoing telephone calls

• Responsible for completing assigned workqueues

• Accurately schedule and re-schedule patient appointments in a timely manner

• Effectively communicate and coordinate patient appointments with downstream departments

• Contacts families to verify their information, insurance coverage, explain benefit eligibility, and refer families to financial counselors to enroll in financial assistance

• Accurately pre-register specific data elements prior to the patients scheduled date of service

• Perform all aspects of insurance verifications

• Add insurance coverage and update the billing system to reflect the insurance status of the patient

• Obtain authorizations and pre-certifications as required for all procedures; work with clinical staff to obtain additional clinical information for benefit review

• Responsible for all correspondence from Insurance companies to be sent to HIM for scanning.

• Provide clerical and administrative support as required

• Create reports for tracking and trending purposes

• Alter provider schedule template in electronic medical record (EMR)

• Assist with departmental coverage as requested

Required Skills/Abilities

• High School education or equivalent
• Preferred 2 years working in a medical office setting
• Preferred experience in insurance procedures
• Preferred experience in medical appointment scheduling

Work Environment

• Working conditions: inside.
• Working Position: sitting, standing, and walking.
• Physical Demands: light.
• Physical Requirements: lifting/carrying, repetitive movement, stooping/kneeling/bending.
• An Individual in this position will be required to lift or carry weight in this group: 11-24 lbs.
• Sensory/Communicative activities essential to the performance of this position: feeling, hearing, seeing, speaking.
• An Individual in this position will be exposed to: inside environment, loud noise.