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medmix · 5 months ago

Senior Patient Access Representative - PRN

Arlington, VA, USA

Full-time

Onsite

Mid, Senior Level

1+ years exp

medmix is a healthcare company, and they are seeking a Senior Patient Access Representative. The role involves greeting, scheduling, meeting, and registering patients in a friendly and professional manner while coordinating insurance verifications and maintaining medical records.

Health CareManufacturingMedicalMedical Device

Responsibilities

Answers and routes telephone calls and messages

Coordinates insurance verifications and pre-authorizations

Maintains medical records and prepares charts/paperwork

Works effectively with insurance companies to obtain/verify pre-certification/ authorization for services

Ability to understand/interpret documented clinical information and relay pertinent medical/clinical information to the insurance company

Faxes pre-certification request form to insurance company

Maintains files and security of confidential information utilizing host system to scan and input data as per established procedures

Verifies medical insurance information and documents in scheduling/registration modules

Accurately enters and updates patient data, and other general data, into the computer system

Patient intake; insurance verification, notification of copays/patient liability and confirmation of demographics

Maintain account work progress, including but not limited to updating authorization logs, account referral in EMR, authorization paperwork and issue reports

Demonstrates knowledge of varied managed care insurance and regulatory guidelines

Monitors waiting area and communicates with clinical staff of patient readiness

Provides assistance as needed to physicians, Department Managers, and clinical staff

Performs other duties as assigned

Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards