What are the responsibilities and job description for the Patient Access Representative Senior position at Geisinger?
Responsible for checking patients in for appointments and accurately verifying demographics. Assures all check-in procedures are completed and monitors patient wait times, communicating changes to the patient as necessary. Reads and interprets insurance responses. Understands general guidelines and insurance rank requirement to properly assign primary, secondary, and tertiary insurance per encounter. Ensures patient receives necessary disclosure and privacy information, obtains necessary legal and financial signatures. Communicates financial obligations to patients and collects fees at time of service as appropriate. Communicates the purpose of and completes all necessary regulatory forms with patient. Completes patient's visit by scheduling any necessary follow up appointments to include any specialty or ancillary services as possible. Processes multi-channel messages related to patient and/or physician requests regarding: appointments, referrals, prescriptions, and complaints. Notifies patient or guarantor of anticipated financial responsibility including copays, deductibles, or coinsurances and collects accordingly. Performs cash posting following department guidelines. Abides by organizational and HIPAA guidelines, privacy practices, patient confidentiality and patient rights. Must maintain high regard for confidentiality. Accurately performs medical record maintenance and releases. Assists with referrals and pre-certifications, at the time of encounter. Properly utilizes and maintains patient recall and reschedule lists. Attends regular developmental training and communicates regular updates to the clerical team. Assists in training peers, utilizing established guidelines. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
Qualifications:
Rotation shift work: M-F with weekend & Holiday rotations, rotating 1st, 2nd, 3rd shifts)
If a suitably experienced candidate cannot be found, applicants who meet the basic qualifications but possess fewer years of experience will be considered for hire at a lower level. Salary would commensurate with experience.