Patient Access Rep I- Pediatrics

Caring For the Community You Love  

Choose a career to make a difference in people's lives every day, choose Fisher-Titus! 

Perks of working at Fisher-Titus:

• Hours of Work- Full Time 
• Comprehensive Benefits Package- Medical & Dental coverage, 401K match, paid time off, tuition assistance and more!
• Shift, Weekend & PRN differential

About Fisher-Titus: 

Fisher-Titus proudly serves the greater Huron County area’s 70,000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab, imaging, and physical rehabilitation. 

Vision: Be the first choice for healthcare and employment within our community  

Mission: Deliver compassionate and convenient care to the highest level of excellence that promotes lifelong health and wellness for our community 

General Summary:
The Patient Access Representative I provides customer service coverage for Fisher-Titus and assumes the responsibility for successful financial outcomes of all patient services. This position performs imperative duties, including but not limited to appointment scheduling, registration, insurance verification, telephone coverage, data entry, filing protected health information (PHI), patient referrals, and point-of-service collections while maintaining patient relations and customer satisfaction. .

Education,Licensure,Registration and Experience:

High School diploma or GED required

Associate's degree in healthcare administration, business administration, or related field desired

At least 3-5 years of customer service, administrative, and/or data entry experience required

At least 3 years of experience in a healthcare environment preferred.

Knowledge of database software applications desired

Customer service, teamwork, and conflict resolution skills

Efficient time management skills and ability to multi-task

Strong written, oral, and interpersonal communication skills

Demonstrated skills in organization, planning, coordinating, and collaborating

Strong understanding and comfort level with computer systems and Microsoft Office

Essential Functions:

Promptly fields and/or directs incoming calls, responds to patient/staff inquiries, and initiates patient triage slips, when necessary.

Works with patients to coordinate and accurately record appointment times and keeps a record of all scheduled, cancelled, and changed appointments to prevent over- or under-booking.

Ensures all registration and admission forms are ready for patients to complete upon arrival for service.

Practices proficient customer service skills by greeting and treating all patients and staff with respect and discretion. 

Gathers and verifies all appropriate, confidential health and financial information from patients while using various computer software to assure payment for all authorized services. 

Enters new patient data and/or verifies patient records are up to date, confirms the completeness of the electronic medical record (EMR), makes change as necessary, and files records in accordance with Fisher-Titus' filing system.

Complies with all organizational, state, and federal laws and registrations related to patient privacy and confidentiality, such as the Health Insurance Portability and Accountability Act (HIPAA).

Verifies insurance eligibility and benefits within a timeframe determined by Fisher-Titus and obtains pre-authorizations from third-party payers in accordance with payer requirements.

Verifies medical necessity in accordance with Centers for Medicare & Medicaid Services (CMS) standards and communicates relevant coverage/eligibility information to the patient.

Identifies patients who will need Medicare Advance Beneficiary Notices (ABNs) of non-coverage and maintains accurate record of authorizations within the electronic health record.

Holds sufficient understanding of insurance protocols for referrals, co-payments, and deductibles.

Demonstrates knowledge of safety policies and procedures by maintaining a safe environment. 

Exhibits professionalism in appearance, speech, and conduct. Ensures that services are provided in accordance with state and federal regulations, as well as organizational standards.