• Ensuring proper service date, codes, demographic and insurance information is input into the hospital scheduling system.
• Scheduling/booking appointments.
• Obtaining pertinent patient, procedure and physician information.
• Ensuring all processes are completed daily in a timely manner.
• Properly verifies and obtain prior-authorization when needed.
• Follows up on any requests and/or messages left on work phone immediately.
• The pre service representative assures that all patients have all information they need so that they will arrive on time and prepared for their appointment and the hospital has all the information required to properly bill or services.
• The pre service rep will follow very specific protocols in scheduling and the collection of financial information.
• Refers patients that are self-pay to the financial assistance department to schedule an appointment prior to services.
• Obtains financial clearance and approval for any patient seeking services.
• Pre registers the patient by verifying the accuracy of demographics and insurance information at the time of scheduling.
• Collects payments for deposits to meet deductibles and co-insurance.
• Participates in educational programs and in-service meetings.
• Promote the mission, vision, and values of the hospital.
• Greet all patients, families, and visitors with a positive attitude.
• Performing other duties as assigned.

Patient Access Representative Requirements:

• High School Diploma, GED, or suitable equivalent.
• 2 years’ work experience in customer service or related field.
• Proficient knowledge of medical terminology, billing practices and coding.
• Proficient computer skills.
• Proficient with MS Office Suites.
• Excellent communication skills, both verbal and written.
• Proficient mathematical skills.
• Outstanding people skills.
• Strong organizational skills.
• Bi-lingual a plus in speaking Spanish and conversing in Spanish