Role: Patient Access Representative (front desk) | Specialty: Community Health Setting – Medical/Dental/Behavioral Health | Openings: 1
Location: Boston, MA 02125
Pay: $22-$26/hr
Schedule: Full time
- Monday/Wednesday/Friday 8:39/9am- 5:00/5:30pm
- Tuesday and Thursday: 11:30am-8pm
About the practice/role:
- This is a health center that sees medical, dental and behavioral health patients daily
- Under the direction of the Practice Manager or Central Support Manager, the Patient Access Representative provides exceptional customer service while welcoming and assisting patients, families, and guests entering the Health Center.
- The Patient Access Representative verifies insurance eligibility and benefits prior to service, ensures accurate demographic and insurance data entry, collects co-pays, educates patients on payment options, and supports front desk operations such as appointment scheduling, check-in, and check-out.
- This position is essential to maintaining a smooth front-end process, minimizing billing issues, and delivering an exceptional patient experience.
Requirements:??????
- HS diploma
- 1 or more years of experience in a community health center and/or 3 or more years of healthcare related experience preferred
- Front desk experience in healthcare setting or dental setting
- Strong working knowledge of epic
- Excellent patient facing communication and scheduling skills
- Experience with dental office scheduling or dental clinic workflows a plus
- Bilingual: English/Spanish or English/Vietnamese or English/Portuguese preferred.
- Familiarity with using medical terminology preferred
- Medical and/or Dental Billing experience preferred
Responsibilities:
- Welcomes and assists patients, families, and guests in a professional and friendly manner.
- Accurately collects and enters demographic and insurance information.
- Schedules, reschedules, or cancels appointments by provider or patient request.
- Collects co-pays and process patient payments in accordance with policy.
- Ensures completeness of PCP assignment and referral requirements.
- Submits applications for HSN Presumptive Determination and SFS discounts, as needed.
- Registers walk-in and new patients and distributes new patient registration information.
- Refers patients to Financial Counselors for insurance enrollment or changes.
- Verifies insurance eligibility, coverage, and PCP/plan assignment using online portals or direct payer calls.
- Ensures prior authorizations are obtained as required in accordance with the site workflow.
- Reviews and corrects patients’ demographic and insurance information in EPIC to support timely, accurate billing.
- Contact patients in advance of appointments when insurance cannot be verified.
- Educates patients on payment options, including Health Safety Net (HSN), Sliding Fee Scale (SFS), and self-pay.
- Coordinates with Financial Counselors to ensure patients have appropriate documentation and appointments.
- Calculates and communicates patient financial responsibility prior to service.
- Reviews next-day appointment schedules and monitors appointment flow.
- Answers and routes telephone calls promptly and courteously.
- Performs related clerical tasks such as sorting mail, managing the bump list, and general front-desk support.
- Reviews patient encounters post-visit to ensure adherence to protocols and workflows to ensure all patients were properly processed, insurance and PCP assignments are accurate, follow-up appointments are scheduled or documented, etc.
- Maintains strict confidentiality and a high level of professionalism in all interactions.
- Position may require occasional travel and support to other health center sites.
- Maintains regular and punctual attendance
- Performs other related duties as assigned.
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