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Patient Access Services Representative

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Tucson Medical Center

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Location:
United States , Tucson

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Contract Type:
Not provided

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Salary:

Not provided

Job Description:

Assists medical care givers with patient management, tracking and monitoring requirements. Answers phones, pre-screens using appropriate triage skills, within allowable parameters calls in prescription re-fills, calls patients with test results and schedules patients for next appointments. Perform extensive centralized scheduling, insurance verification, referral, billing and payment posting responsibilities.

Job Responsibility:

  • Assists medical care givers with patient management, tracking and monitoring requirements
  • answers phones, pre-screens using appropriate triage skills, within allowable parameters calls in prescription re-fills, calls patients with test results and schedules patients for next appointments
  • performs extensive centralized scheduling, insurance verification, referral, billing and payment posting responsibilities
  • exhibits excellence in customer service through appropriate attitude and interaction with all patients, visitors and staff
  • adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication
  • collects deposits or deductibles and advises patient or guarantor of insurance benefits and anticipated cost estimates
  • ensures that cash handling follows corporate policies
  • ensures completion of financial documentation in accordance with TMCH’s credit and collection policies
  • explains all necessary compliance forms and obtains patient signature as required for regulatory agencies
  • performs medical necessity screening and ensures compliance with system requirements
  • interacts with physicians and/or physicians’ office staff to secure diagnosis, procedure details or authorizations and information for denials as needed
  • uses medical terminology and scheduling knowledge to select correct procedure when scheduling and coordinates information with other departments as needed
  • demonstrates knowledge of resources, staffing, instrumentation, and equipment specific to procedures to avoid scheduling conflicts
  • performs patient registration activities to ensure accurate financial and biographical data and documentation have been obtained and properly entered into hospital records
  • completes insurance processing
  • including account creation, insurance verification, notification, and authorization functions, follow ups on denials and no response claims
  • communicates with departments/physicians for special requests, emergent cases, overbooking and add-ons
  • informs management about issues/problems with tools/times
  • handles incoming telephone calls and exercises judgment in scheduling caller for correct procedure in appropriate service area
  • receives telephone requests to schedule from patients, physicians, physician office staff, employers, and hospital personnel, if applicable
  • explains procedure preparations to patients so they are properly prepared before arriving at the hospital or clinics as needed
  • documents all notification, authorization and eligibility information in the registration systems, uses electronic verification tools and web-based resources
  • analyzes patient accounts, determines non-collectable accounts, and recommends bad debt or charity write-offs when applicable
  • analyzes and processes contractual write-offs
  • arranges payment methods or extensions of credit with patients or representatives
  • evaluates accounts and determines payment dates based on patient’s ability to pay and hospital policies
  • explains charges, services, and hospital policy regarding payment of bills
  • arranges account collections and contacts carriers to follow-up on balances due
  • maintains current working knowledge of payer regulations, contractual agreements, computer updates, and new collection tools including understanding of the Fair Debt Collection Practice Act
  • provides information about external financial assistance, including recommending third parties
  • may serve as a Medical Assistant when holds a Medical Assistant Certification
  • processes Accounts Payable transactions such as: checks and posts payments to accounts receivable and verifies account balances
  • prepares, reconciles, balances, and batches daily deposits and prepares receipts for deposits
  • verifies totals on reports and forms as required
  • reviews accounts with unusual balances after posting payments and adjustments
  • researches and transfers monies between logs, as needed
  • adheres to TMCH organizational and department-specific safety, confidentiality, values policies and standards
  • performs related duties as assigned

Requirements:

  • High School diploma or General Education Degree (GED)
  • completion of vocational medical office training desired, or an equivalent combination of relevant education and experience
  • preferred one (1) year of medical office and/or hospital experience to include healthcare eligibility and benefit analysis or scheduling experience for diagnostic testing and/or surgery
  • some positions may require certification as a Medical Assistant (CMA)
  • knowledge of office management practices, including billing and scheduling within healthcare
  • knowledge of basic computer familiarity and experience and the ability to operate basic office equipment
  • knowledge of patient care protocols and practices
  • knowledge of general patient care practice, methods and regulations
  • skill in evaluating patient’s needs or following up with a care-giver and then providing follow up support to patients
  • skill in scheduling appointments and referrals
  • ability to read or listen and comprehend simple instructions, short correspondence, and memos
  • ability to write simple correspondence
  • ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization
  • ability to read and interpret documents such as safety rules, procedure manuals, and governmental regulations
  • ability to effectively present information and respond to inquiries or complaints from patients and/or their representatives and the general public
  • ability to interpret and explain insurance benefits and patient financial responsibility
  • ability to provide excellent customer service via phone and walk-ins
  • ability to apply common sense understanding to carry out simple/detailed written or oral instructions
  • applicants must have basic computer familiarity and experience and the ability to operate basic office equipment

Additional Information:

Job Posted:
January 05, 2026

Employment Type:
Fulltime
Job Link Share:

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