Patient Access Representative (Staten Island, NY)

Summary: Breg is dedicated to advancing orthopedic solutions that enhance the lives of patients. They are seeking a Patient Access Representative who will be responsible for managing patient interactions, processing referrals, and ensuring efficient office operations while upholding HIPAA standards. Responsibilities: - Answers and routes incoming calls using multi-line telephone system - Hospitably greets and routes patients, clients, vendors, and other visitors - Maintains tidiness of reception and other public areas - Locates and processes referrals at the time of visit - Checks in upon arrival, registers walk-in patients and identifies existing patients; correctly adds/edits demographic information to include email address, guarantor, and insurance coverage and obtains necessary signatures - Verifies eligibility and accurately estimates out of pocket expense - Collects co-pays and patient account balances - For all same day referrals, on-call referrals, and walk-in patients, obtains medical records and supporting documentation required to successfully register, verify insurance, and meet all payor authorization and documentation requirements - Completes these critical steps prior to the patient fitting - Processes all referrals received within the identified timeline - Schedules follow up appointments as necessary - Reviews and acts on all emails, electronic referrals, and correspondence within one business day - May participate in the delivery of Ancillary Products - Performs pre-scan validation of new claims and supporting documentation to ensure accuracy, timely processing, and revenue recognition - Administrative tasks may include receives paper claim documentation, scans claims, tends to mail, overnight shipping, fax, copy, scan, file, office supplies, and general correspondence and ensures efficient office operations - Knowledge of EMR systems and understanding of where various data points and clinical information is located - Follows and upholds all HIPAA standards and guidelines while discussing and accessing patient information - Maintains and updates skills by collaborating with peers, participating in assigned Breg Academy training courses, as well as, reviewing and implementing new SOPs and Work Instructions - Promotes Breg’s culture of accountability by demonstration and exemplifying Breg’s cultural beliefs - Supports all other Health Information Management System (HIMS) department tasks and clinical location requirements as needed to support the Breg Billing Business - Maintains a professional appearance and work environment - Collaborate with cross-functional teams to drive excellence in patient care and business solutions Required Qualifications: - High school diploma or equivalent required - Expertise in communicating effectively both written and verbally - Knowledge of EMR systems and understanding of where various data points and clinical information is located - Follows and upholds all HIPAA standards and guidelines while discussing and accessing patient information - Maintains a professional appearance and work environment - Collaborate with cross-functional teams to drive excellence in patient care and business solutions Preferred Qualifications: - Working knowledge of medical terminology and standard medical forms preferred - Medical Billing experience preferred - 1+ year of medical reception experience preferred - Computer proficient to include web browser/internet search, MS Outlook, Word, Excel, and Power Point capabilities. Technical competence includes the ability to learn new software and systems Required Skills: Multi-line telephone system, Referral processing, Patient registration, Demographic data management, Insurance verification, Co-pay collection, Medical records management, Appointment scheduling, Email and electronic correspondence management, Ancillary product delivery, Claims pre-scan validation, Office administration, EMR systems, HIPAA compliance, Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft PowerPoint Benefits: Comprehensive Benefits: Medical, dental, vision, disability, and life insurance, effective the first of the month after hire., Work-Life Balance: Paid Time Off (PTO) and company-paid holidays., Growth & Development: Opportunities for professional advancement within a company that values your contributions., For more information regarding Company benefits, please see https://www.breg.com/benefits, This role may also be eligible for bonus.