Patient Access Representative – Behavioral Health
Behavioral Health Patient Access Representative – 40 Hours
Perform a variety of clerical functions including: generation of memos, letters, reports, and other routine correspondence. Supervises patients and visitors in the waiting room. Answer incoming phone calls, respond to routine questions, take messages or send to voice mail, and redirect calls as appropriate. When incoming calls are referrals, take demographic, treatment history, clinical summary information, and triage whether call is emergency situation or routine and refer accordingly. When incoming calls are Crisis calls, calm and orient the caller, take crisis information and refer to crisis worker.
Provides support for providers including scheduling of patient appointments. Managed care insurance support for clinical staff including: determination of eligibility and benefits; pre-certification of visits; auditing of charts for insurance status; tracking and reconciling authorization information; coordination of Outpatient Treatment Reports for ongoing service between clinician and insurance companies; investigating denials of payment from insurance companies; responding to patients concerns regarding insurance; processing changes in insurance coverage for patients; and disseminating managed care insurance information to clinical staff.
High school diploma and a minimum of 3 years administrative experience in a behavioral health setting required.
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