TRC - D&T Program Administration - Patient Access Representative

PATIENT ACCESS REPRESENTATIVE/NAVIGATOR JOB DESCRIPTION

RESPONSIBLE TO:  Clinical Services Administration Supervisor

FUNCTION:

Welcomes patients in a positive customer-focused manner. Perform a wide variety of activities designed to facilitate and maintain the smooth, efficient flow of operations within a variety of integrated care settings including dental, behavioral health, primary care, health-related services and care coordination.  Ensure the timely and accurate collection of all required pieces of information for patient’s demographics, insurance and billing of all services in order to provide accurate information for the providers as well as obtain maximum reimbursement.  Maintain confidential healthcare information recorded in the Electronic Health Record (EHR) system in a timely manner in order to provide the most complete and accurate patient record possible and to facilitate optimum patient care.
 

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

Exemplary customer service skills, including the ability to effectively deal with a variety of individuals including patients, providers and other customers in a calm and professional manner; excellent telephone and verbal communication skills, as well as, effective interpersonal skills which promote cooperation and teamwork; Demonstrated ability to effectively utilize multiple Electronic Health Record Systems, including but not limited to Anasazi, AllScripts, Dentrix, and Therap, in addition to computer software programs such as Microsoft Word.  Comprehensive knowledge of information gathering, processing and filing systems; working knowledge of medical records management and office administration protocols, as well as, working knowledge of basic accounting and billing principles; flexibility, reliability and ability to self-direct and self-initiate in order to meet deadlines.  Must be detail-oriented and possess strong organizational and time management skills, including the ability to effectively manage multiple priorities in a competent manner. Typing ability sufficient to perform data entry. Physical condition or reasonable accommodation(s) commensurate with the demands of the job. 

MINIMUM QUALIFICATIONS:

PATIENT ACCESS REPRESENTATIVE Associate’s Degree in business, accounting, medical office or related field plus one (1) year of demonstrated office experience. Experience in medical office or medical billing strongly preferred; OR three (3) years of demonstrated office experience.  Experience in medical office, registration, or medical billing strongly preferred.  Candidates who are bilingual in English and Spanish preferred.

PATIENT ACCESS NAVIGATOR Associate’s Degree in business, accounting, medical office or related field plus two (2) years of demonstrated office experience, a minimum of one (1) year of which was in a medical office, medical billing or related capacity; OR four (4) years of demonstrated office experience a minimum of one (1) year of which was in a medical office, medical billing, or related capacity.  Candidates who are bilingual in English and Spanish preferred

DUTIES

OTHER DUTIES: Refer to Appendix

REQUIRED TOOLS: Refer to Appendix

Revision Date: 07/30/2020

Multiple Service Environments

   THE RESOURCE CENTER

Grade 12/13, Non-Exempt

PTO/CAT: 3 

CFR: 505