Patient Access Representative

POSITION DESCRIPTION 

POSITION: Patient Access Representative  

DEPARTMENT: Patient Services  

LOCATION: 1575 Blue Hill Avenue, Mattapan, MA 02126 

REPORTS TO: Manager of Patient Services 

TYPE: Full -Time: Experienced 

SALARY: $22 per hour 

Summary:

The Patient Access Representative (PAR) is the first person with whom a patient or family member will interact, either upon arrival or via telephone prior to a visit. The PAR is responsible for ensuring optimization of the patient visit by positively impacting patient care through knowledgeable, reliable and courteous interactions. The PAR works closely with all care team members and is responsible for performance of a variety of office functions, including answering incoming phone calls, scheduling appointments, greeting patients and family members, and collecting copayments. 

RESPONSIBILITIES

1. 85% Patient Intake and Appointments: 

• Greet patients and a friendly, professional and attentive manner. 
• Register patients within the practice management system, ensuring all demographic, insurance and billing information are correct. Crucial data fields include, but are not limited to: 

- Verification that PCP listed on insurance coverage is a Mattapan CHC provider 

- Insurance ID 

- Patient name, address, date of birth, and telephone number 

- Guarantor/Insurance subscriber demographics 

• Assure the highest quality standards for all written and verbal communication with co-workers and manager.
• Verify department’s two patient identifiers to satisfy HIPAA compliance.
• Book appointments in accordance with the health center’s appointment types, processes and guidelines. 
• Manage daily cash collections in accordance with Finance Department policies and procedures. Responsible for security of daily cash, collection of copayments,  
• deductibles and self-pay balances and accurately documents payments within the practice management system; provide patient with a receipt for payment. 
• Maintain knowledge of insurance plans and requirements to ensure all necessary front-line information is collected to ensure payment of visit claim and manage billing work queues as assigned by Lead PAR or Manager. 
• Perform insurance verification through practice management system, or other verification and carrier databases as directed by Manager of Patient Financial Services or Team Lead. 

2. 10% Accountability/Responsibility: 

• Balance cash collections and submit to Accounting Manager on a daily basis. 
• Provide back-up coverage to front desk/switchboard as assigned. 
• Ensure that patients proceed through reception, registration, and into clinical areas in a timely manner. 

 3. 5% Other Duties:  

• Perform other related clerical duties as assigned by Manager or Team Lead. 
• Performs other related duties as required or assigned. 

High school diploma or equivalent required, with at least two years of equivalent work experience in a health care setting.  

Strong knowledge of health insurance coverage is a plus. 

Working knowledge of computer systems, especially EPIC System.

Strong oral and written communication skills are essential. Ability to communicate effectively in English required. 

Fluency in Spanish or Haitian Creole preferred. 

Excellent record of attendance, punctuality and flexibility required.