Patient Access Community Liaison Representative

Job description

Patient Access Community Liaison Representative

U.S. Medical Management (USMM) is an affiliate of a leading Fortune 100 company. A national organization built on a continuum of care with premier healthcare providers, clinicians and patient focused individuals working together. Our Mission - "Through Compassionate Patient-Centered Care in the Home; We will Provide Exceptional Outcomes across our Continuum of Services" - Visiting Physicians Association, Pinnacle Senior Care, Grace Hospice, Comfort Hospice, Home DME & our In Home Health Assessments (IHA).

Our Values of Integrity, Respect, Teamwork & Excellence are leading us to a better tomorrow for patient care. Our Purposes Centered on "We are Unified in our Work through our Continuum of Services" "We can Find Comfort that We are Making a Difference for our Patients" & "We make a Broader Positive Impact on Society", allows USMM to be poised for a phenomenal future.

We are seeking candidates who desire the experience of delivering quality & compassionate healthcare within proven care models with patients at the forefront of everything we do.

Position Description

The Patient Access Community Liaison Representative obtains and validates patient demographic, insurance and financial information. This position serves as a point of contact for Visiting Physician Association and Centene.

Essential Duties and Responsibilities

• Responsible for driving the USMM culture through values and customer service standards
• Accountable for outstanding customer service to all external and internal customers
• Develops and maintains effective relationships through effective and timely communication
• Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner
• Entry of patient referrals, including complete and validated demographic, insurance and financial data
• Establishes a direct relationship with the marketing/sales group/community liaisons
• Works all referrals from the community liaisons in a timely manner
• Continual communication on status of all referrals
• Verifies insurance benefits utilizing all available resources
• Notifies patients/guarantors of financial responsibility
• Refers appropriate cases to the Customer Service department for payment collection
• Makes documents received during the registration accessible to physician practices in Aprima
• Provides correct information to referral source and patient callers regarding the benefits of VPA services
• Educates referral sources on New Patient Referral processes
• Consistently meets all quality and productivity standards set by department manager or supervisors
• Other duties as assigned

REQUIRED Knowledge, Skills, and Experience

• High School diploma or equivalent, or completion of some college coursework (accepted in lieu of experience)
• One year experience in customer service, insurance verification, registration, or administrative role
• Excellent oral, written and interpersonal communication skills
• Ability to multi-task in a call center environment
• Ability to work independently and prioritize work assignments to meet department deadlines
• Knowledge of Centricity

Preferred Knowledge, Skills, and Experience

• Experience within a Healthcare setting
• CHAA certification
• Completion of Medical Terminology course