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REMOTE Front End Patient Access Representative

Posted: June 15, 2024
Salary:US$16.00 - US$21.00 per hour
Job type: Contract
Discipline:Care Management
Work Location:Remote

Job description

**Please Note: At least 1 year of recent patient access experience is required to qualify for this position. Candidates without this experience will not be considered. **

Start Date: July 1st, 2024

Duration: Contract-to-hire opportunity. 1040 total hours, with an opportunity for conversion to permanent after completing 1040 hours worked from the start date if meeting attendance and performance expectations.

Location: 100% Remote


  • Regular Hours: Monday-Friday, 40-hour work week, 8-hour days.
  • Training Period: Monday-Friday, Central Time (CT) 8am-4:30pm.
  • Post-Training Schedule: Dependent on assigned region/facility.

Compliance Requirements:

  • Background check
  • Education Verification (high school diploma/GED required)
  • Drug Screening (9-panel, including THC)
  • HIPAA training

Pay Rate: $16-21/hour, depending on experience.

Official Job Responsibilities and Duties

  • Patient Information Management:
    • Review mom and baby hospital face sheets to confirm and update medical record numbers and patient identity for EMR submission.
    • Pull patient face sheets from hospital systems, compare information with face sheets, and enter data into the patient billing system (demographics, medical records numbers, insurance information).
  • Insurance Verification:
    • Perform insurance verification, correct discrepancies, and add referring providers using GMPS.
    • Validate CPT codes from providers by emailing physicians for verification.
  • Communication and Documentation:
    • Compose emails to providers to confirm information on medical records and validate missing CPT codes.
    • Notify patients, guarantors, family members, physicians, and/or supervisors of insurance coverage issues, documenting all information in the computer system.
    • Maintain positive customer service and refer unresolved issues to the appropriate supervisor.
  • Reconciliation and Compliance:
    • Complete daily and weekly hospital admission reconciliations.
    • Initiate medical record requests with the coding department.
    • Verify required signatures on legal consents and insurance forms, and add/edit insurance information.
    • Confirm insurance coverage and benefits using real-time eligibility software, mapping insurances to the correct plan codes.
    • Enter/edit data in the computer and thoroughly document any incomplete admissions/registrations as prescribed.
    • Review Physician's orders (Service date, CPT/DX codes) for unbilled encounters, ensuring all required information is listed.
    • Demonstrate knowledge of all Federal, State, and Local laws pertaining to insurance rules and regulations.
    • Comply with all safety regulations, policies, and procedures as defined by the customer.

Day-to-Day Responsibilities (Summary)

  • Log into hospital systems to pull patient face sheets and compare patient information before entry into the billing system.
  • Work heavily in GMPS for insurance verification, correcting discrepancies, and adding referring providers.
  • Validate CPT codes from providers and verify codes by emailing physicians.
  • Compose emails to providers to confirm information on medical records and validate missing CPT codes.
  • Complete daily reconciliation (census for hospitals).
  • Initiate medical record requests with the coding department.
  • Obtain insurance plan codes from payer portals if RTE is not provided.

Job Requirements

  • Experience: At least 1 year of recent patient access experience.
  • Technical Skills: Tech-savvy with a strong ability to navigate computers and learn software.
  • Work Environment: Quiet, dedicated, distraction-free home workspace that is HIPAA compliant.
  • Insurance Knowledge: Understanding of insurance payers (HMO, PPO, verification of eligibility).
  • Multi-tasking: Experience working in at least five systems on a day-to-day basis.
  • Remote Work: Previous experience working remotely is highly preferred.

Required Compliance (if hired)

  • Background check
  • Drug screening (9-panel, including THC)
  • Education Verification (high school diploma or equivalent required)
  • HIPAA training