Harbor Health Services is seeking a talented Patient Access Representative to join our support team at the Harbor Community Health Center in Plymouth.
We offer an excellent, comprehensive benefits package including Health, Dental, Vision, Life, & Disability insurance, 403b Savings Plan, Generous Paid Time Off plus 11 additional Holidays and much more! Come join our great support team at the health center!
Role:
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.
Position is Monday through Friday with some evening and Saturday rotation (Our Health Center is open Tuesday and Thursday evenings until 8:00 PM and Saturdays 8:00 AM - Noon.
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 patient’s demographic and insurance information in EPIC to support timely, accurate billing.
• Contacts 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; other admin duties include answering call, sorting mail, reviewing patient paperwork
• Position may require occasional travel and support to other health center sites.
Requirements:
• High school diploma/GED.
• 1 or more years of experience in a community health center and/or a professional or business environment, 3 or more years preferred
• Excellent verbal and written communications skills
• Excellent customer service, organizational skills, problem solving and priority setting skills.
• Basic Math and reading comprehension skills, medical and/or dental billing experience preferred
• Basic computer literacy, knowledge of Microsoft Office preferred including Word, Excel and Outlook; knowledge of EPIC Electronic Practice Management (EPM) highly desired
• Bilingual: English and Spanish or Portuguese a plus!
• Familiarity with using Medical terminology preferred
• Related bilingual skills based on business need can be a substituted for up to 6 months of experience in a community health center and/or a professional business environment
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
The salary range and/or hourly rate listed is a good faith determination of base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining actual base salary and/or rate, several factors may be considered as applicable (e.g. location, years of relevant experience, education, training, and other factors as permissible by law).
Principals only. Recruiters, please don't contact this job poster.