Patient Access Representative

Our Patient Access Representatives play a key role in the center’s aim to deliver patient-centered, coordinated team-based health care.   Reporting to the Patient Access Coordinator, the Patient Access Representative is responsible for completing all front desk functions efficiently and professionally including appointment scheduling, patient registration, insurance verification, patient collections, scanning documents into the EHR system and telephone management.  As a Valley View Health Center employee, your role is to deliver on our mission every day by living out our values of customer focus, accountability, innovation, excellence and integrity. 

Essential Functions…

Functional Area: 

Patient Registration

Estimated Effort:  45%

Responsibilities, Deliverables, Outcomes and Expectations

 ·         Responsible for ensuring all patients have access to insurance enrollment and program information necessary to cover provided services as stipulated in our Mission.

·         Responsible for ensuring all patient information is accurately entered within the practice management system.

 ·         Responsible for confirming third party coverage through payer verification and authorization.

 ·         Works 40 hours a week clerically/administratively, as a Patient Access Representative, within the patient access department of VVHC.

 ·         Able to accurately schedule for multiple providers within the agency.

 ·         Accurately post copays and monies in appropriate locations

 ·         Able to transfer calls/park calls.

 ·         Accurately scan documents into EHR system.

 •      Enter telephone encounters accurately in the EHR system.

 •       Ability to explain the Sliding Fee Scale and answer patient’s questions.

 •       Accurately post copays and monies in appropriate locations.

 •       Answer phones promptly and professionally

 •      Ability to verify eligibility when EHR does not respond.

 •      Assist patients with paperwork.

 •      Identify patients with two qualifiers.

Functional Area: 

Front Office Operations

Estimated Effort:  45%

Responsibilities, Deliverables, Outcomes and Expectations

 ·         Works with the Patient Access Coordinator and Patient Access Manager to keep denials at a minimum of 7%.

 ·         Works with the Patient Access Coordinator and Patient Access Manager to ensure Sliding Fee Scales policy and procedures are being followed.

 ·         Ability to greet and direct patients and visitors

 ·         Responsible for accurate daily balancing of cash drawers and deposits and monitoring/reporting department cash flow. 

 ·         May be required to make daily deposits at local bank during business hours.

 ·         Responsible for maintaining self-discipline and morale, assuring individual compliance with policies.

 ·         Maintain good oral and written communication, with strong language, grammar, computer literacy.

 ·         Understands that assigned supervisor will perform daily audits of all registration activity.  IE.  Including but not limited to, sliding fee scale application, proof of income verification, payer selection, and billing alerts.

 ·         Must travel as required to other locations, sites to work, attend meetings and seminars, etc.

 ·         Check and respond to emails daily

 ·         Working with billing department to assist patients with questions/concerns.

 ·         Multi-task successfully.

 ·         Must be able to operate PC, laser-jet printers, modem, facsimile machine, scanners, and computerized voice mail system and common office machines at the assigned site.

 ·         Attentive/receptive when directions are given

 ·         Possess the ability to establish and maintain professional working relationships with all levels of staff, clients, and the public.

 ·         Ability to understand and follow verbal and written communication.

 ·         Ability to work independently at the assigned site with minimal/no supervision.

 ·         Accomplish projects as a team member, team leader or individual as assigned.

 ·         Willingness to be part of a team-unit and cooperate in the accomplishment of departmental goals and objectives.

 ·         Adhere to our patient service principles such as handling complaints as opportunities to impress the patient.

 ·         Learn policies and procedure and answer patient’s questions accurately

 ·         Willingness to enhance the overall operation of the health center.

 ·         Understands they will be placed in rotation for Saturday front office coverage.

 ·         Submit leave requests within 14 days of requested time off.

 ·         Other duties as assigned

 ·         Serve as a representative of VVHC/CAC on assigned committees as deemed appropriate.

Functional Area: 

Agency Service

Estimated Effort:  10%

Responsibilities, Deliverables, Outcomes and Expectations

 ·         Other duties as assigned to carry out the mission, vision and business of Community Action Committee of Pike County and Valley View Health Centers.

Minimum Requirements…

Education: 

High School Diploma or equivalent

Demonstrated competency in typing minimum 30 WPM.

Agency Requirements:

Current valid driver’s license, proof of automobile insurance, insurable under agency insurance policy, reliable transportation, compliance with VVHC’s employee uniform/attire

People Management Experience:

Licenses, Certifications, and Accreditations:

Preferred Qualifications…

Prior experience with electronic medical records.

3 years customer service experience

Working Conditions…

Primary work conditions are indoors in climate-controlled setting in an office like environment.   The employee may be exposed to hazardous materials and various weather conditions.  The employee must regularly move up to 10 pounds and occasionally move up to 25 pounds.  Specific vision abilities required by this job include close vision.  While performing the duties of this job, the employee will regularly remain at a desk; use hand to finger, handle or feel object, tools or controls; reach with hands and arms; and exchange accurate information.   The employee is occasionally required to move from one place to another.