Patient Access Rep I - Clinic

About the role

As a Patient Access Representative, you will manage administrative duties for the patient intake process in our clinic, adhering to established guidelines. Every day you will interact with patients in person and by phone, facilitating check‑in/out, collecting data and payments, validating insurance, scheduling appointments, and processing referrals and authorizations. To be successful, you will demonstrate critical thinking, strong customer service, and knowledge of insurance, billing, and medical terminology, ensuring a seamless, high‑quality patient intake experience. CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. — from clinics and hospitals to home‑based care and virtual care services — CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

Responsibilities

• Facilitate patient check‑in/out
• Collect data and payments
• Validate insurance
• Schedule appointments
• Process referrals and authorizations
• Assemble all data and documents required for complete patient registration (pre‑admission, admission, pre‑registration, registration)
• Complete insurance verifications and authorizations
• Enter patient demographic information; use other department applications for eligibility and authorization
• Assess patient financial responsibility and collect co‑pays and deductibles at time of admission
• Screen admissions and inform referring physician offices, patients and their families about hospital policies and procedures regarding method of payment sources for services rendered
• Obtain and document funding information from patients; provide information on available funding resources; obtain funding for patients in scheduling, pre‑registration, registration, or post‑registration as assigned
• Use payer resources and website to explore and assess eligibility
• Initiate third‑party referrals
• Administer financial assistance policy and procedures to determine patient eligibility for discounted prices or charity care

Requirements

• High School Graduate or GED

Skills

• Critical thinking
• Strong customer service
• Knowledge of insurance, billing, and medical terminology

Pay

$16.06 - $22.69 /hour