APPLY HERE: https://valleyhealth.org/careers/

Job title: Patient Access Representative

Reports to: Front Office Manager

- Full-time

- $15.00-$16.55per hour

- Valley Health locations: SCP-Charleston, Teays Pediatrics, Milton(Dental department), East Huntington, 10^th Street, Fort Gay (part time)

Job Summary:

This position plays an important function in the health care delivery system. Patient Access Representatives are the first point of

contact for patients for scheduling, direction to services, receiving of patients in the office as well as carryout initial assessment of insurance coverage and payment for patients prior to treatment.

Essential Duties and Responsibilities:

· Welcome patients as they contact the center in-person or by telephone, and explain the services available, payment options,

and billing procedures.

· Schedule appointments and direct walk-in patients and emergencies as per established policies and procedures.

· Answer incoming calls and route them to appropriate staff.

· Accurately register patients per registration protocols and collect all required documentation in patient software before

generating an encounter for the visit.

· Verify accuracy of demographic information for established patients and update as necessary in patient software.

· Review and verify patient insurance coverage or other programs and compute charges to be paid by the patient.

· Collect deposits or co-pays/deductibles and inform patients of any outstanding balances in an attempt to collect.

· Navigate patients who are uninsured or underinsured to eligibility determination with Medicaid and/or to our Assister for

Marketplace enrollment or enrollment with the Sliding Fee Program.

· Address no show reports on a daily basis.

· Communicate patient complaints/concerns as necessary to the Front Office Manager.

· Address and/or forward as appropriate all incoming patient correspondence into the health center such as medical record

requests, faxes, mail, patient secure messages, etc.

· Work with other staff members / departments within the health center to ensure smooth patient flow and positive patient

experiences.

· Work at other health centers as needed and assigned to ensure proper staffing coverage throughout the system.

· Assist in care coordination that may include obtaining test and referral results and communication with various entities

including but not limited to community organizations, health plans, facilities, and specialists.

· Proactively address needs of the patients and families through the concept of population management.

· Effectively communicate with all patients with specific attention to the vulnerable patient population.

· Provide self-management support in the form of patient coaching and motivational interviewing when appropriate.

· Acknowledges the importance of a team approach when providing patient care.

· Assist with referrals as needed and directed by the Front Office Manager.

· Process daily batch and reconcile deposits as needed.

· Maintain compliance with the organization’s confidentiality policy in accordance to the Health Insurance Portability and

Accountability Act (HIPAA).

· Maintain compliance with all company policies and procedures

· Other duties as assigned

Education and/or Work Experience Requirements:

· Excellent verbal and written communication skills, including ability to effectively communicate with internal and external

customers

· Must be able to work well in a busy environment while maintaining a positive attitude and providing exemplary customer

service

· High school diploma or GED required

· Previous office or customer service experience preferred

Physical Requirements / Working Conditions:

· Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state

and local standards, including meeting qualitative and/or quantitative productivity standards.

· Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards

· Must be able to talk, listen and speak clearly on telephone

· Position requires the ability to maintain concentration and attention to detail for long periods of time in order to maintain

accurate records pertaining to patient and/or account information

· Position requires manual dexterity for operating standard office equipment.

· Position functions within a normal office environment.