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Patient Access Services Representative - TMCOne - Wyatt Cardiology. Job Category: Clerical. Schedule: Full time. Shift: 1 - Day Shift. SUMMARY: 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
calls in prescription re-fills
calls patients with test results
schedules patients for next appointments
performs extensive centralized scheduling
insurance verification
referral
billing and payment posting responsibilities
exhibits excellence in customer service
collects deposits or deductibles
ensures completion of financial documentation
explains compliance forms
performs medical necessity screening
interacts with physicians
uses medical terminology and scheduling knowledge
performs patient registration activities
completes insurance processing
communicates with departments/physicians
handles incoming telephone calls
explains procedure preparations
documents all notification
authorization and eligibility information
analyzes patient accounts
arranges payment methods or extensions of credit
arranges account collections
maintains current working knowledge of payer regulations
provides information about external financial assistance
may serve as a Medical Assistant
processes Accounts Payable transactions
adheres to TMCH organizational and department-specific safety
confidentiality
values policies and standards
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