Patient Access Specialist

Confidential Company  •  Melville, NY

Salary depends on experience
Posted on 06/22/18
Confidential Company
Melville, NY
Salary depends on experience
Posted on 06/22/18

    Patient Access Specialist

    Melville, New York

    Responsibilities:

     * Determine insurance benefits and coverage for patients scheduled for OT and PT services.

    * Directly responsible for ensuring patient accounts for all services rendered have insurance benefits and eligibility verified prior to services being rendered.

    * Ensures patients are informed of their out of pocket expenses (deducible, co-pay, co-insurance).

    * Uses all applicable tools, websites and electronic verification, to obtain eligibility and benefit information. * Ensure proper and timely communication to patients is made for patients out of network, patients with ineligible insurance or any patient who requires benefit information.

    * Identifies appropriate insurance as needed and re-verifies accordingly.

     * Conducts insurance re-verification as needed.

    * Contacts non-participating patients to negotiate out of network financial arrangement.

    * Reviews patients' remittance for applicable payers to determine if checks were sent to patients and contacts patients to verify receipt of checks.

    * Provides instructions to patients to return checks to Professional Physical Therapy in a timely manner.

    * Follow-ups with mailing EOBs and statements to patients.

    * Update the patients' record accordingly in Patient Management System.

    * Maintains a working knowledge of HIPAA, OSHA, Risk Management and compliance regulations.

    * Practices confidentiality in accordance with Company policies and all laws and regulations.

     * Attends Company meetings as required.

     * Other duties as assigned by RCO Management

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