Job ID: 32178
Category: Administrative & Clerical
Facility: Community Care Network, Inc. (Physician Practice)
Schedule: Full-time
Location: Munster, IN
Position: Patient Access Representative - Clinic
Location: Munster with travel to Hobart 1 day a week
Job Summary:
Under general supervision, Patient Access Representative coordinates services by performing patient access, registration, scheduling, insurance verification and predeterminations for patients. Interacts daily with patients, insurance carriers, physicians, and staff. Patient Access Representative is responsible for the verification and authorization of insurance benefits on patient accounts, through electronic verification systems or through contact. Ensures referrals, authorizations, and predeterminations are submitted in an efficient, timely manner. The Patient Accsess Rep pursues accounts receivable balance resolutions.
Education/ Experience Requirements:- High School graduate (or GED equivalent).
- 1-2 years’ insurance or medical billing experience. Physician practice setting preferred.
- Knowledge of medical terminology and CPT/ICD-9 & 10 coding necessary.
- Comprehension of government and third party billing regulations required.
- Must have at least 1 year experience with predetermination processes.
- Must be able to utilize Microsoft office applications, perform internet navigation and research, and have prior experience using a computerized health information system.
- Needs to be familiar with operating general office equipment, including but not limited to: scanner; fax machine; photocopy; printer and adding machine.
Must demonstrate effective communication and problem solving skills.
