Patient Access Rep

Job Type

Full-time

Description

Essential Duties and Responsibilities: The essential duties of the position include the following. Other duties may be assigned. Key Functions:

• Has to train in all areas: Check in/out, Chart Auditing, Call Center functions.
• Provides excellent customer service to patients by listening and appropriately serving patients.
• Contributes to an overall positive work atmosphere through actions and attitude.
• Relays relevant information to the appropriate internal staff.
• Follows practice procedures for appointment entry, check-in and/or check-out processes.
• Participates in office meetings and educational activities.
• Maintains work area in neat and orderly manner.
• Complies with HIPAA procedures.
• Other duties as assigned.
  
  

Chart Audits/Superbill Prep

• Print Superbills for every Physician and Physician Assistant (PA) who are in clinic for the day you are working on
• Print Cover Sheets for same as above
• Verify Insurance in Athena or using additional websites if necessary
• Ensure insurance is active and we are in network
• Ensure if Referral is required, we have one
• At the bottom of the superbill, note the Allocation set (90/10, 80/20, etc.) or Co-Pay amount and highlight.
• Note Deductible Remaining and/or Out of Pocket (OOP) Remaining. If both are met, note Ded/OOP Met then in the Drop-Down Chart Alert box, type in the date, “OOP Met”, and your initials
• If the patient is coming in for a Post Op appointment, write in the global period ending date at the bottom of the superbill.
  
  

Requirements

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Travel to all OTX locations is required. Cross-Training in different Patient Access functions is required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience: High School Diploma, or general education degree (GED), or one to three months relates experience, and/or training or equivalent combination or education and experience.