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Patient Access Rep/Referral Specialist

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Posted : Friday, August 30, 2024 10:02 PM

Job Duties: Welcome patients as they contact the center in-person or by telephone, and explain the services available, payment options, and billing procedures.
Schedule appointments and direct walk-in patients and emergencies as per established policies and procedures.
Answer incoming calls and route them to appropriate staff.
Accurately register patients per registration protocols and collect all required documentation in patient software before generating an encounter for the visit.
Verify accuracy of demographic information for established patients and update as necessary in patient software.
Review and verify patient insurance coverage or other programs and compute charges to be paid by the patient.
Collect deposits or co-pays/deductibles and inform patients of any outstanding balances in an attempt to collect.
Navigate patients who are uninsured or underinsured to eligibility determination with Medicaid and/or to our Assister for Marketplace enrollment or enrollment with the Sliding Fee Program.
Address no show reports on a daily basis.
Communicate patient complaints/concerns as necessary to the Office Coordinator.
Address and/or forward as appropriate all incoming patient correspondence into the health center such as medical record requests, faxes, mail, patient secure messages, etc.
Assist in care coordination that may include obtaining test and referral results and communication with various entities including but not limited to community organizations, health plans, facilities, and specialists.
Proactively address needs of the patients and families through the concept of population management.
Effectively communicate with all patients with specific attention to the vulnerable patient population.
Provide self-management support in the form of patient coaching and motivational interviewing when appropriate.
Process daily batch and reconcile deposits as needed.
Maintain compliance with the organization’s confidentiality policy in accordance to the Health Insurance Portability and Accountability Act (HIPAA).
Maintain compliance with all company policies and procedure Complete all necessary paperwork and other information essential to meet the patient’s insurance agency’s requirements.
Maintain up-to-date records documenting date, time, and place of appointment or test within the patient’s medical record.
Orders & referrals kept up to date utilizing the tracking system in the electronic health record (EHR) Communicate information to patients regarding date, time, location, and special instructions regarding their referrals Assist in care coordination which may include obtaining test and referral results and communication with various entities including but not limited to community organizations, health plans, facilities and specialists.
Provide self management support in the form of patient coaching and motivational interviewing when appropriate.
Acknowledges the importance of a team approach when providing patient care.
Communicates and coordinates effectively when providing patient care.
Actively participates in the medical home care team which is comprised of clinical and non-clinical working together towards a common goal: delivering quality care to our patients.
Other duties as assigned.
Qualifications: High school diploma or equivalent Excellent communication skills Multitasking abilities Detail oriented Proficient knowledge of medical terminology

• Phone : NA

• Location : Huntington, WV

• Post ID: 9120915776


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