Job Information
Southeast Alaska Regional Health Consortium Lead Patient Access Representative (JR100077) in Sitka, Alaska
Key Essential Functions and Accountabilities of the Job
Knows, understands, incorporates, and demonstrates the Mission, Core Values, and Vision in behaviors, practices, policies, and decisions.
Maintains collaborative, team relationships with peers and colleagues to contribute to the working groups achievement of goals effectively, and to help foster a positive work environment.
Protects confidentiality/privacy and avoids gossip in verbal, written, and electronic forms of communication or information sharing.
Raises concerns in an appropriate manner and according to policy.
Ensures that all demographic and insurance information is communicated and properly entered into the electronic health record to provide prompt and accurate billing.
Collect and record patient identification into the Electronic Health Record including drivers license, social security card, or passport.
Responsible for coordination of benefits when more than one insurance carrier is used.
Performs insurance eligibility/benefit verification, utilizing payer web access or calling payers directly. Documents information within the patient accounting system through insurance eligibility/benefit verification.
Appropriately distributes registration paperwork to patients including Patient Information Form, Notice of Privacy Practices and Authorization for Treatment and Promise to Pay (Assignment of Benefits) and records into forms in the Electronic Health Record according to departmental procedures.
Receives point of service payments at check-in before services are rendered.
Refers all patients without insurance coverage or questions to a Financial Counselor for resolution.
Provides primary receptionist services including receiving and directing incoming calls and help /information to callers. Provides helpful assistance in anticipating and responding to the needs of our customers (i.e., escorting, directing, and answering questions). Takes written messages that are clear and concise. Demonstrates exceptional phone etiquette.
Functions as the point of contact in identifying complex systemic issues and either resolving or escalating to management for resolution.
Completes assigned worklist related to patient demographic, insurance, medical information.
Schedule appointments for patients who present in person or call the clinic.
Accepts medical authorization or referral forms, if appropriate.
Follows up with direct admit patients where all registration information was not obtained at admission, if appropriate.
Meets all requirements of Patient Access Representative III in addition to the following:
Provides training for new employees in the functions, duties, and policies of the front office. Assist in planning and development of training materials.
Interprets complex data, draws meaningful conclusions, and presents findings to management for further department advancement.
Under the guidance of supervisor, audits encounters of fellow team members and shares corrections that need to be made.
Provide support and leadership while the supervisor is off-site.
Responsible for maintaining staff schedules when supervisor is unavailable.
Works with Patient Access Supervisor for other duties as assigned.
Provide support and leadership while the supervisor is off-site.?
Serve as an escalation point for staff and patient issues and concerns.
Under the guidance of supervisor, audits encounters of fellow team members and shares corrections that need to be made.
Participate or help plan interdepartmental team building activities.
VEVRAA Federal Contractor We are a government contractor or subcontractor to the United States government and are subject to the equal employment opportunity obligations of the Vietnam Era Veterans' Readjustment Act of 1974, as amended (VEVRAA). We are an equal opportunity employer. Preference is given to Alaska Native/American Indian applicants who meet minimum requirements according to the provisions of P.L. 93-638.