Patient Access Services Representative

TMCOne Wilmot Pediatrics specializes in an inclusive pediatric practice as well as Pediatric Infectious Disease and Pediatric Adolescent & Obesity Medicine in Tucson, welcoming all children and their families. Our team is seeking a team member to further support our family and patient centered culture. Assists medical care givers with patient management, tracking and monitoring requirements. Answers phones, pre-screens using appropriate triage skills, calls in prescription re-fills, calls patients with test results and schedules patients for next appointments. Performs extensive centralized scheduling, insurance verification, referral, billing and payment posting responsibilities.

Responsibilities

Assists medical care givers with patient management, tracking and monitoring requirements; Answers phones, pre-screens using appropriate triage skills; Calls in prescription re-fills, calls patients with test results and schedules patients for next appointments; Performs extensive centralized scheduling, insurance verification, referral, billing and payment posting responsibilities; Exhibits excellence in customer service; Collects deposits or deductibles and advises patient or guarantor of insurance benefits and anticipated cost estimates; Ensures completion of financial documentation; Performs patient registration activities; Completes insurance processing; Handles incoming telephone calls; Documents all notification, authorization and eligibility information; Analyzes patient accounts and determines non-collectable accounts; Arranges payment methods or extensions of credit; Maintains current working knowledge of payer regulations; Processes Accounts Payable transactions; Adheres to TMCH organizational and department-specific safety, confidentiality, and values policies; Performs related duties as assigned

Requirements

High School diploma or General Education Degree (GED) or equivalent combination of relevant education and experience; Knowledge of office management practices, including billing and scheduling within healthcare; Knowledge of basic computer familiarity and ability to operate basic office equipment; Knowledge of patient care protocols and practices; Knowledge of general patient care practice, methods and regulations; Skill in evaluating patient's needs or following up with a care-giver and then providing follow up support to patients; Skill in scheduling appointments and referrals; Ability to read and interpret documents such as safety rules, procedure manuals, and governmental regulations; Ability to effectively present information and respond to inquiries or complaints from patients and/or their representatives and the general public; Ability to interpret and explain insurance benefits and patient financial responsibility; Ability to provide excellent customer service via phone and walk-ins; Ability to apply common sense understanding to carry out simple/detailed written or oral instructions; Some positions may require certification as a Medical Assistant (CMA)

Nice to have

Completion of vocational medical office training; Preferred one (1) year of medical office and/or hospital experience