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Patient Access Representative

Aya Healthcare, Kenosha, WI, United States


Patient Access Specialist

Patient Access Specialist Responsibilities: A Patient Access Specialist serves as the first point of contact for Froedtert South. The position is accountable for appointment scheduling, patient check-in and check-out registration, coverage management, patient portal sign-up, patient message collection and routing, departmental support, prior authorization, and WQ management.
Schedules, reschedules, and cancels patient appointments
Executes pre-arrival registration by adhering to registration standards
Accurately identifies and enters patients insurance coverage
Performs check-in/check-out functions for patient appointments
Collects all applicable copays, patient balances, pre-payments, and self-pay payments for services
Manages and resolves assigned departmental WQs
Takes messages (telephone and in-person) and uses the healthcare software in-basket to route and facilitate communication between patients and clinical care team.
Performs manage care referrals and prior-authorizations functions
Proficient use of healthcare software utilizing established standards
Patient Service Navigator Lead Requirements:
High School or Equivalent (GED)
6 months to 1 year
Formal education beyond high school in Business or Healthcare or equivalent experience preferred.
Experience in a healthcare business or receptionist environment.
Excellent computer and customer service skills.
Knowledge of medical terminology ICD-10, CPT, and HCPCS codes and use.
Familiarity with the internet, email, and Microsoft Office.
Effective written and verbal communication skills required.
Demonstrates the ability to efficiently organize work while maintaining a high level of accuracy and productivity
Experience in patient registration, insurance verification, and health insurance plans.
Salary Range: $17.00 to $25.25/hr (based on experience)
Night and evening shift differential
Lead differential
Benefits: Medical, dental, and vision benefits available
403(b) company match available
Tuition reimbursement
Employee discount program
Competitive PTO