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Patient Access Rep

Insight Global

This is a Full-time position in Houston, TX posted June 16, 2021.

Thoroughly searches the patient accounting system for an existing medical record on each visit Uses appropriate search techniques to ensure that no duplicate medical records are created in the master patient index Accurately enters complete demographic information into the system. Verified information should include correct spelling of patient name, date of birth, gender, address, phone number, guarantor data, etc. Patient names should follow hospital protocol regarding middle names, suffixes, etc. Ensures assigned DARs and/or work queues are monitored and worked on a daily basis, ensuring that all elements of the accounts are secured for billing Verifies insurance benefits for all plans associated with patient, confirming the correct payor and plan is entered into EPIC Enters patient estimates in estimating software if required Obtains insurance referrals, as required by individual insurance plans, documenting referral numbers in the appropriate fields for accurate billing. Documents whether authorization is require and involves Authorization Specialist when needed for clinical authorizations Provides estimates of patient liability to patient/guarantor prior to visit as part of financially securing the account. Involves financial counseling department for self-pay accounts requiring assistance with funding To provide the highest possible customer service, patients are pre-registered 2-10 working days in advance of appointment/admission. Minimum RequirementsKnowledge of patient access services and the overall effect on the revenue cycle A thorough understanding of various insurance plans, payor networks, government resources, and medical terminology are essential to this position Ability to demonstrate self-initiated work behaviors, problem solve, interact with a variety of people while always displaying professional courtesy, excellent interpersonal and communication skills, and attention to detail The ability to use a networked computer that facilitates access to the Hospitals patient accounting system and other query software for verification of insurance benefits all while maintaining patient confidentiality H.S. Diploma or equivalent 6 months Experience as an admissions representative/counselor performing all aspects of the registration process Experience using EPIC

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