Patient service associate vs patient access representative

Differences between patient service associate and patient access representative duties and responsibilities

Patient service associate example responsibilities.

• Verify patient's insurance eligibility and other pertinent information according to HIPAA regulations and hospital policies.
• Screen uninsure patients for medicaid and other programs, complete medicaid applications for qualify applicants.
• Interview patients and conduct an analysis of potential eligibility for Medicaid and hospital charity programs.
• Obtain accurate and detail diagnostic, demographic and financial information for patients requesting emergency hospital services.
• Limit experience in attending patients needs, while perform in accordance with existing regulatory and hospital standards.
• Obtain all necessary documentation prior to surgery such as proof of identification, copy of insurance and require insurance referrals.
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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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