Patient Access Representative at Sanford Health

Marshfield, Wisconsin, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Jun, 26

Salary

0.0

Posted On

23 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Patient Registration, Scheduling, Demographics Verification, Paperwork Management, Electronic File Creation, Insurance Claims, Pre-authorization, Medical Terminology, Customer Service, Teamwork, Confidentiality, Empathy, Multi-line Telephones, Work Queue Resolution, Provider Coordination, Mentoring

Industry

Hospitals and Health Care

Description

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: Varies (United States of America) Scheduled Weekly Hours: 0 Union Position: No Department Details Summary Two major functions of the Patient Access Representative (PAR) are patient registration and scheduling. Depending on setting, the PAR may only perform registration or scheduling duties, while in other settings, the PAR may perform both registration and scheduling duties. In all settings, the PAR performs additional duties, as assigned. Duties vary by location/setting. Job Description In a registration role, the Patient Access Representative greets patients/residents, verifies patient/resident demographics to accurately register and/or schedule patients/residents, and takes care of related paperwork. Creates electronic files; provides, scans, and routes necessary forms and documents. Educates patients/residents and captures their signatures on necessary paperwork. Establishes and assigns financial responsibility and/or assists with arrangements while adhering to appropriate policies and procedures. Collects co-payments, pre-payments, and/or payments on account balances. May also work through the registration work queue to address and resolve issues specific to registration, including work queue errors, denied insurance claims, and maintenance of the registration database. In a scheduling role, the Patient Access Representative schedules patient/resident appointments and procedures, obtains and coordinates referrals, conducts pre-authorization, arranges interpreter services, checks patients/residents in/out, and offers enrollment to additional resources. Collaborates with nursing team and providers to coordinate appointments to meet patients'/residents' needs. May coordinate provider schedule, resolve work queue issues and manage recall and waitlists. Operates multi-line telephones and depending on location, may serve as a switchboard operator calling codes and paging providers. Based on setting, additional duties may include preparation and coordination of charts; organizing supporting provider documents; discussing pre-payment responsibilities; initiation and collaboration of patient/resident financial assistance; prior authorization; track patient/resident visits; health information management on patient/resident accounts; work on weekly and monthly reports; compiling, distributing, administering and scoring of assessments; coordination of Telemed appointments; provider and schedule maintenance; charge entry/billing and charge verification; reminder calls for appointments; hospital admission; make copies, send faxes, and order supplies. In all settings, the Patient Access Representative serves as a mentor for new Patient Access Representatives and other staff. Displays professionalism and promotes an atmosphere of mutual respect and cooperation. Must be able to work as part of a team and also work independently. Frequently takes direction from nursing team. Must always maintain confidentiality of sensitive information. Requires excellent customer service and the ability to empathize with patients and their situations. Working knowledge of medical terminology and use of professional written communication when making notes. Qualifications High school diploma or equivalent preferred. Post-secondary education helpful. One year of work experience, preferably in a medical office setting. Medical terminology helpful; customer service skills essential. Six months' customer service experience desired. May require BLS for certain locations and/or settings. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org. The Sanford organization owns and manages multiple distinct brands, including Sanford Health, Marshfield Clinic, and Good Samaritan, as well as Lewis Drug, Sanford Health Equip, Solutions by Sanford, Great Shots, and Blue Rock Bar & Grill. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. Headquartered in Sioux Falls, South Dakota, the organization has 53,000 employees and serves over 2 million patients and nearly 425,000 health plan members across the upper Midwest including South Dakota, North Dakota, Minnesota, Wyoming, Iowa, Wisconsin and the Upper Peninsula of Michigan. The integrated nonprofit health system includes a network of 56 hospitals, 288 clinic locations, 147 senior care communities, 4,000 physicians and advanced practice providers and nearly 1,500 active clinical trials and studies. The organization’s transformational virtual care initiative brings patients closer to care with access to 78 specialties. Learn more about Sanford Health’s commitment to shaping the future of rural health care across the lifespan at sanfordhealth.org or Sanford Health News. Good Samaritan, one of the nation’s largest nonprofit providers of senior care and services, is committed to transforming the aging experience through innovation, compassion and personalized care. As part of Sanford Health, an integrated nonprofit health system headquartered in Sioux Falls, South Dakota, Good Samaritan serves 10,000 seniors and offers access to a full continuum of care, including 94 rehabilitation and skilled nursing centers, 56 assisted living and memory care facilities, 44 independent living locations and 37 home health and hospice agencies. The senior care provider delivers services across the upper Midwest, with 70% of residents living in rural communities. Learn more about Good Samaritan’s mission and commitment to delivering high quality senior care in rural America at good-sam.com.

Responsibilities

The Patient Access Representative primarily handles patient registration, which involves greeting patients, verifying demographics, managing paperwork, and collecting payments, or scheduling appointments and procedures, coordinating referrals, and conducting pre-authorizations.