Definition of an Access Service Representative:
The Access Service Representative provides high-level administrative support to the patient access team, including completion of patient medical insurance eligibility, processing benefits, and referral authorizations for the cases.
Responsibilities of an Access Service Representative:
Here are mentioned responsibilities of an access service representative resumes representing typical tasks. They are likely to perform at their jobs such as:
- Use EMR software to manage case records and files; support and uphold patient confidentiality as needed by HIPPA and clinic.
- Educate eligible applicants about Medicaid managed care and how to access benefits in a managed care terrain.
- Maintain accurate patient information within confidential case accounts as well as electronic medical records in compliance with national HIPAA standards.
- Respond to phone inquiries, furnishing quality service to clients, PSR’s and insurance representatives inquiring about case accounts.
- Examiner PSR case registry accuracy and proficiency on internal audit system.
- Contact insurance companies for patient billing operations including knowledge in ICD-10, CPT, online insurance eligibility or authorizations, and scheduling diagnostic or specialty referrals
- Respond to grievances in writing within the CMS accreditation time frame.
- Prepare a schedule for PRR’s and coordinate redundant staff with the staffing dept.
- Oversee the day-to-day activities of the PRR while performing in that part.
- Produce, maintain, and update help documents similar to step-by-step guides, training manuals, and PowerPoint presentations.
- Comply with hospital guidelines in agreement with civil and government regulations similar to HIPAA or PHI, EMTALA, JCAHO, and OSHA.
- Operate front office check- heft, preparation of charts, take payments, as well as balance books at the end of the day.
- Adhere with all state and city regulations similar to EMTALA and HIPAA requirements and appropriately collect copayments and deductibles from cases.
- Relieve the hospital PBX switchboard operators daily for lunch and breaks, which include paging overhead for codes and physicians.
Education and Training:
The Access Representatives need to have a high academy diploma or GED/equivalent. Computer and typing experience and knowledge of the health- care industry are helpful and the information of medical terminology. The insurance plans are also beneficial. Employers generally give on-the-job training that covers specific responsibilities.
Skills:
You are bound to develop more skills while performing practical than reading about theoretically. This is why training and other skills are very important and advisable in any career. Besides training, you require several skill sets to develop your insights about the designation you are going to work at. These skill-sets include practical skills as well as soft skills. Let us check out the basic skill required for an access service representative:
- Strong administrative skills
- Excellent communication skills
- Interpersonal skills.
- Maintain strong attention to detail.
- Compassionate and patient.
- Professional demeanor, compassion, and a calm,
- Computer skills as well as including Microsoft Office Suite (Word, PowerPoint, and Excel)
- Experience with electronic health records (EHRs)
- Strong client service skills for dealing with patients
- Discretion and the capability to handle confidential information
- Strong organization skills and the capability to do multitask
Salary:
The national average payment of an access service representative is $41,000 per year in the United State. So; they can earn $3,400 per month. The payment ranges can vary widely depending on so many important factors, including education, certifications, additional skills, and the number of years you have spent in your profession.
Employment:
So, finally, we are here with the conclusion of the whole discussion. We have overlooked the definition of an access services representative. Moreover, we also discussed what roles are there in the market that need to be performed. After a detailed discussion on the topic, we mentioned the educational requirements and skill set requirements. Then, Lastly, we checked out what the salary expectations can be in this field. But, now to answer the final query in your mind.
Yes, we know you are wondering where I can apply for this designation. Don’t worry. We have you covered with this as well. You do one of the two things. Firstly, you can search for opportunities online. You can do this by checking out some of the efficient Job searching platforms. Secondly, you can visit our website’s main page. Then you can search for any desired designation to get the most feasible open positions.
