Elmira, NY, 14905, USA
4 days ago
Pre Registration Patient Access Associate
Job Description MAIN FUNCTION: The Pre-Registration Patient Access Associate plays a critical role in ensuring that patients are fully prepared for their scheduled healthcare services by accurately estimating financial responsibilities and conducting thorough pre-registration processes. This includes pulling daily reports for scheduled services, identifying patients based on insurance type, creating estimates for patients with commercial and Medicare coverage, and conducting pre-registration calls to verify demographic information, insurance details, appointment specifics, and providing directions to the service location. DUTIES AND RESPONSIBILITIES: + Accurately estimate patient responsibility for upcoming services and communicate these estimates to patients. + Document prior unpaid outstanding prior balances and add with the estimate to create “Total Guarantor Responsibility”. + Request payment, over the phone, for estimated service costs and any outstanding balances before appointments. + Explain in detail patients' insurance coverage and responsibilities, ensuring clarity and understanding. + Assist patients with navigating payment and financing options for the patient cost-share for future services and prior balances. + Pre-Qualify guarantors whose remaining balances are over $500 and don’t qualify for Medicaid, charity or other financial assistance programs. + Coordinate closely with billing and insurance verification teams to gather accurate financial information for patient pre-registration. + Pull daily reports for scheduled services, including outpatient services/therapies, surgery, GI/Endo, radiology, and dialysis. + Provide patients with clear directions to the service location for the day of their appointment. + Perform other duties as assigned to support the Patient Access Services Department. EDUCATION: High school diploma or GED required; some college or Associate's/Bachelor's degree in business, finance, or related field preferred. QUALIFICATIONS: Knowledge of medical terminology, healthcare billing, and insurance verification processes. Strong financial acumen and a thorough understanding of patient responsibility amounts, including copays, deductibles, and coinsurance. Excellent communication, negotiation, and interpersonal skills, with the ability to explain complex financial information in a clear and compassionate manner. Proficiency in using hospital information systems, electronic health records, and office software. PHYSICAL DEMANDS: Requires extended periods of standing or sitting. Requires extended periods of discussing patient responsibility balances with patients over the phone. EXPOSURE CATEGORY: Category III. Tasks that involve no exposure to blood, body fluids, or tissues. Category I tasks are not a condition of employment. Requirements
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