Patient Access Representative I

Job description

Patient Access Representative I

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 Representative I 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
• Verify insurance benefits utilizing all available resources
• Notify patients/guarantors of financial responsibility
• Refer appropriate cases to the Customer Service department for payment collection
• Make documents received during the registration accessible to physician practices in Aprima
• Provide correct information to referral source and patient callers regarding the benefits of VPA services
• Educate referral sources on New Patient Referral processes
• Consistently meet 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