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Patient Access Support Scheduler

Broadway Medical Clinic, LLC

Patient Access Support Scheduler

Portland, OR
Full Time
Paid
  • Responsibilities

    JOB STATEMENT:

    The Patient Access and Support Services members are an active member of the integrated care team. The role provides key services to other care team members, the patient and family members in the areas of: scheduling appointments, insurance benefits/eligibility, coverage, referrals, prior authorizations, collections of copayments, outstanding balances, connections to community care and support services, gathering and disseminating information. Some activities are performed within the clinical space while other activities are performed in common areas.

    ESSENTIAL FUNCTIONS:

    Schedule new patients – primarily performed by PASS in clinical area but can be performed by PASS located in common /patient check in area; includes verification of insurance, running eligibility either by RTS or by going to insurance website; verification of demographic information – updating system as required; reminder to patient to bring insurance card, copay, other key information (medication list etc); secure email address, preference for notifications (email, text, phone) –update system as necessary; secure name/phone # of previous doctor so records can be ordered;

    Schedule follow up appointments: primarily performed by PASS located in clinical area but can be performed by PASS located in common/patient waiting area; verification of insurance coverage; run RTS or check insurance website; remind patient to bring copy of insurance card, copayment if other outstanding balance due as patient to work w/business office to clear balance (can email or task financial counselor); secure email address and preference for notification (emails, text, phone); update system as necessary.

    Schedule for ancillary services; primarily performed in clinical area but can be performed in common/patient check in area.

    Patient check in: performed in patient check in area within the clinical department (Derm, PEDS) or in common patient waiting area. Secure copy of patient picture ID, insurance card, copay; verify demographics and insurance; verify preference for notifications (email, text, phone) update system as necessary; collect copayments or other balances owed by patient; can refer patient to financial counselor as needed. Relay pertinent information about the patient to the clinical team ; balances cash bag daily

    Insurance verification: if not performed prior to appointment, run RTS and/or check insurance website for benefit information.

    Chart audit: review upcoming appointments for thoroughness and accuracy –performed by PASS located in clinical area; includes making sure we have documentation from outside providers; insurance benefits have been verified, database has accurate information.

    Scanning and posting of outside documentation: performed by PASS located in clinical area but can be managed by PASS located in patient reception common area.

    Referrals: primarily managed by PASS staff located in clinical area. Insures referrals are sent to correct specialist, under correct PCP; documentation is sent to insure specialty appointment if successfully executed. PASS team members located in the common/patient reception area should have working knowledge of referral processes.

    Managing Attribution lists from our payer partners.

    Accurate collection of copayments and other patient balances; ability to respond to basic insurance questions; facilitates helping the patient secure answers by referring them to the financial counselor or business office staff.

    QUALIFICATIONS

    High School Diploma or GED

    At least 1 (one) year experience in a medical office setting preferred, excluding schooling or training time.

    Knowledge of medical terminology and medical insurance.

    Excellent customer service skills.

    Proficient in reading, basic math skills and cash handling