Patient Access Associate - Family Practice

WORKING CONDITIONS

Orientation will be conducted remotely. Training will be conducted onsite.

Monday to Friday: 8:00 AM to 5:00 PM

The Patient Access Associate I exhibits a high level of customer service while verifying and preparing all patient accounts for inpatient and outpatient billing in order to maximize payment for Hospital and Clinic services from all sources. Reviews and verifies all payment methods available (insurance, self‑pay, agency), verifies patient/insurance information, works with patients to set up payment arrangements and to arrange/apply for assistance programs, assists in collecting copayments and deductibles, and problem solves basic billing inquiries.

• Obtains, confirms and enters or updates demographic and insurance information for all patients.
• Consistently confirms, enters, and/or updates all required demographic data on patient and guarantor in the registration system.
• Secures and/or explains copies of insurance card(s), forms of , and signature(s) on all required forms.
• Consistently completes the Medicare Secondary Payer (MSP) questionnaire, if applicable.
• Verifies insurance to determine coordination of benefits and obtains authorization and/or referrals as required.
• Accurately updates the emergency department room tracking system, if applicable.
• Follows procedures when identifying a patient and applying the patient identification bracelet, if applicable.
• Registers patients during downtime following downtime procedures and enters data into the registration system immediately upon system availability.
• Verifies insurance coverage, screens patient for potential funding sources, and sets expectations for reimbursement of services.
• Verifies financial information to determine insurance coordination of benefits, pre‑certification/prior‑authorization requirements by contacting the insurance company or through other verifying technology.
• Informs self‑pay patients of prepayment requirements or screens for funding sources.
• Prepares estimate of procedures, calculates advance payment requirements, informs patient of acceptable payment arrangements on previous and current balances.
• Refers potentially eligible patients to contract eligibility vendor(s) to pursue funding reimbursement.
• Maintains departmental and/or individual reports as required.
• Coordinates with clinical areas to establish patient financial expectations and assist in the resolution of revenue cycle issues.
• Assures accurate and timely response to patient financial inquiries related to their care at Scott & White.
• Provides an escalation pathway for account issues which cannot be resolved.
• Explains/answers patient billing inquiries and interprets data to resolve accounts.
• Explains alternative medical financing; assists in completion of applications