Patient Access Representative
SEARHC was established in 1975 under the provisions of the Indian Self-Determination Act as a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. The intent of this legislation was to have Indian Health Service programs and facilities turned over to tribal management. Our contracting with IHS began in 1976 when we took over management of the Community Health Aides Program. In 1982, we took over operation of the IHS Juneau clinic, now the Ethel Lund Medical Center, and took over operation of Sitka’s Mt. Edgecumbe Hospital in 1986. We are one of the oldest and largest Native-run health organizations in the nation.
The Patient Access Representative I greets patients and family members in a professional and courteous manner. Obtains and verifies demographic, financial, and insurance information during the registration process, accepts point of service payments or provides guidance for payment options, and clears the patient for service delivery.
- Knows, understands, incorporates, and demonstrates the Mission, Core Values, and Vision in behaviors, practices, policies, and decisions.
- Maintains collaborative, team relationships with peers and colleagues to contribute to the working group’s achievement of goals effectively, and to help foster a positive work environment.
- Protects confidentiality/privacy in verbal, written, and electronic forms of communication or information sharing.
- Raises concerns in appropriate manner and according to policy.
- Ensures that all demographic and insurance information is communicated and properly enter into the electronic health record to provide prompt and accurate billing.
- Collect and record patient identification into the Electronic Health Record including driver’s license, social security card, or passport.
- Responsible for coordination of benefits when more than one insurance carrier is presented.
- Performs insurance eligibility/benefit verification, utilizing payer web access or calling payers directly. Documents information within the patient accounting system through insurance eligibility/benefit verification.
- Appropriately distributes registration paperwork to patients including Patient Information Form, Notice of Privacy Practices and Authorization for Treatment and Promise to Pay (Assignment of Benefits) and records into forms in the Electronic Health Record according to departmental procedures.
- Receives point of service payments at check-in before services are rendered.
- Refers all patients without insurance coverage or questions to a Financial Counselor for resolution.
- Provides primary receptionist services including receiving and directing incoming calls and provide assistance /information to callers. Provides helpful assistance in anticipating and responding to the needs of our customers (i.e., escorting, directing, and answering questions). Takes written messages that are clear and concise. Demonstrates exceptional phone etiquette.
- Functions as the point of contact in identifying complex systemic issues and either resolving or escalating to management for resolution.
- Update patient’s demographic information including CHS & Direct status for newborns and beneficiaries returning or new to Alaska.
- Completes assigned worklist related to patient demographic, insurance, medical information.
- Accepts medical authorization or referral forms, if appropriate.
- Follows up with direct admit patients where all registration information was not obtained at admission, if appropriate.
- Scan medical records and process Release of Information, if appropriate.
- Schedule appointments for patients who present in person or call the clinic.
- Receives and prioritizes calls, faxes, and requests from patients. Routes information to the appropriate recipient in a timely manner.
- Other duties as required and assigned by the supervisor.
- High School Diploma or GED
- 3-6 Months as a PAR Trainee OR
- 1 year office experience, medical office exp. preferred
Knowledge, Skills, and Abilities:
- General office functions, office equipment, and computer applications
- Working independently
- Good interpersonal, verbal, and written communication
- Prioritize work and multi-task in a fast-paced office setting with many interruptions
- Self-start and willingness to learn
- Read and comprehend simple instructions, short correspondence, and memos
- Demonstrate time-management, organizational, and customer service skills
- Work flexible hours with limited unplanned absence
At SEARHC, we see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement. Working at SEARHC is more than a job, it’s a fulfilling career.
We offer generous benefits, including retirement, paid time off, paid parental leave, health, dental, and vision benefits, life insurance and long and short-term disability, and more.
Check out our SEARHC YouTube Video below!