Patient partner vs patient access representative

Differences between patient partner and patient access representative duties and responsibilities

Patient partner example responsibilities.

• Communicate with insurance companies on a continuous basis to ensure hospital reimbursement and attain authorization for home and rehabilitation services.
• Verify and confirm CPT codes for correct sleep study, verify that the referral and scripts are sign.
• Collaborate with health care team (s) provide concurrent review and identify ICD-9 and CPT billing codes.
• Listen carefully for key concerns of patients and respond accordingly.
• Provide assistance in directing and escorting non-emergency patients to other designations throughout the hospital setting.
• Comply with HIPPA and OSHA protocol guidelines and demonstrate a professional level of confidentiality in regard to all patient/facility affairs
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Patient access representative example responsibilities.

• Use EMR software to manage patient records and files; reinforce and uphold patient confidentiality as required by HIPPA and clinic.
• Conduct intensive screening of all Medicare, Medicaid and manage care patients for provider service eligibility.
• Educate eligible applicants about Medicaid manage care and how to access benefits in a manage care environment.
• Run internal reports to ensure ICD 9 and CPT procedure codes are accurate for billing for Medicare and Medicaid patients.
• Deliver quality customer service and compassion while obtaining demographic and financial data from patients seeking emergency medical services.
• Operate front desk check-in, preparation of charts, receive payments and balance books at the end of the day.
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