Patient Access Representative - Stony Point - Days

Virginia Commonwealth University Health Systems
medical insurance
United States, Virginia, Richmond
Nov 23, 2024
$1,000 Sign On Bonus for offers accepted by December 31, 2024. Terms and Conditions apply The Patient Access Representative provides quality customer service to patients of all ages, their families, visitors, medical staff, clinicians and co-workers, ensuring that everyone will be treated courteously, quickly and with respect. This position establishes and maintains an environmental control plan, coordinates materials management for the department, assists in monitoring clinic activities and provides supervision of clerical activities. The Patient Access Representative handle all business functions in an assigned area to include reception, scheduling and registering patients for appointments and/or procedures. This position also secures the appropriate patient information; ensures that registration data is correct and accurate; validates insurance eligibility, enters information into appropriate systems and collects co-pay (if applicable), and assists with financial counseling and financial clearance, as necessary. Licensure, Certification, or Registration Requirements for Hire: N/A Licensure, Certification, or Registration Requirements for continued employment: N/A Experience REQUIRED: Previous experience with computers, Microsoft Office software and navigating the Internet Previous experience keyboarding with the ability to type 40 words per minute Experience PREFERRED: Work experience with medical insurance, HMO, managed care, electronic medical billing/order entry/registration systems, and appointment scheduling Previous work experience in a healthcare setting and knowledge of medical terminology Education/training REQUIRED: High school graduate or GED Education/training PREFERRED: Associates or Bachelor's Degree in Accounting, Finance, Business Administration, Healthcare Administration or closely related field from an accredited program Independent action(s) required: Able to perform daily activities with minimal supervision: being self directed in the accomplishment of routine activities. Issues that involve violation of VCUHS policy or procedure that involve conflicts of a sensitive nature, or that would be considered unusual in nature are to be brought to the attention of the clinical coordinator or designee promptly as would be warranted by the immediacy of the issue. Performs daily activities with minimal supervision. Notifies supervisor of issues involving violation of VCUHS policies or procedures. Functions in a self-directed manner to accomplishments of routine activities Supervisory responsibilities (if applicable): N/A Additional position requirements: Depending on assignment, may be required to work off-shifts and/or weekend and holidays. Incumbents may be considered essential depending on departmental assignment. Age Specific groups served: All Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting less than 20 lbs. Lifting 50-100 lbs. Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment, Able to adapt to frequent, change Front desk coverage during clinic hours- Monday-Thursday 7am-5:45pm Friday 7:15am-4pm Expectations for Therapy PARs: Check-in: Documents for Initial Evaluations-Review of: Therapy attendance policy Patient Questionnaire Awareness of patient diagnoses to determine appropriate patient reported outcome measure Insurance card/drivers license Enrolling patients in Mychart Patients arriving >15 min late for appt-crosscheck with therapist whether patient can be seen (answer may be no-particularly for evaluations) Printing Zebra Labels Check-out: Scheduling of Follow-up appointments Adherence to therapy plan of care Use of waitlist when plan of care cannot be met Printing patient appointment list Scheduling Evaluations (via Workqueue, phone call, or walk up): Knowledge of therapy locations, specialties, and phone numbers Knowledge of patient diagnoses appropriate to the local clinic Knowledge of patient diagnoses appropriate for other Stony Point clinics (Pelvic Health, Lymphedema, Speech Therapy)-in case of patient questions, phone calls, or patients arriving at the wrong clinic Knowledge of therapy scheduling idiosyncrasies: Plan of Care/Frequency of visits Prioritization of post-op patients Scheduling of walk-ups for Hand Therapy Security clearance to override needed for 9000 PAR Knowledge of insurances/payors and processes Insurances who do not participate with VCU Health Tricare Prime Worker's compensation Self pay Self pay following an insurance denial Coverage through alternative means (as seen recently with USAA) Workqueues- Scheduling from the Workqueue Forwarding orders to different therapy departments if diagnosis not appropriate for Stony Point Adding new patients to Epic Transcribing orders Identifying whether or not a referral is appropriate for the local clinic Forwarding the order to a different therapy department if not appropriate for the local clinic Knowledge of the difference between Evaluation (1117) and Treatment (1118) visits Changing appt type (when needed) Linking referrals Pediatric patients wishing to attend therapy without a parent-consent form Cancellations and No Shows No show policy Secure chat and Inbasket messages Authorization: Awareness of authorization indicators in the DAR Crosschecking DAR 3 days in advance Incoming Faxes: Identifying referrals Scanning in insurance/workers' comp related documents and notifying Authorization team and/or treating therapist of their presence Identifying requests for medical records and calling the requester to notify them that they need to contact Medical Records MERT: Printing Facesheet Printing Medication list Miscellaneous: How to handle duplicate MRNs How to handle incorrect patient information Workday Day (United States of America) EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.