Patient Access Representative - Admitting

Summary

Patient Access Representatives facilitate a welcome and easy access to the facility and are responsible for establishing an encounter for any patient who meets the guidelines for hospital service. They ensure accurate data entry of demographic and financial information, manage insurance verification, authorizations, and collections, and support the financial outcome of patient services while maintaining compliance with Federal regulations, JCAHO, and Department of Health standards. The role requires professional appearance, strong communication, organizational skills, dependability, flexibility, and teamwork.

Responsibilities

• Accurately input all required data elements for scheduling and registration, including patient demographic, financial information, guarantor information, and relevant notes.
• Verify insurance eligibility and obtain necessary authorizations for services rendered.
• Calculate and collect the estimated patient portion based on benefits, contract reimbursement, and prior balances.
• Perform financial assessment for appropriate program assistance.
• Communicate the purpose of and obtain patient/legal guardian signatures on all necessary hospital documents.
• Represent the Patient Access department in a professional, courteous manner at all times.
• Assist the hospital in the event of an internal or external disaster.
• Support flexible departmental needs to accommodate patient volume, including assignment to other areas and shift changes.
• Support the department in achieving established performance targets.
• Complete required training as needed and as mandated.
• Maintain team discipline by following all elements of established standard processes.
• Work with High Performance Work Teams (HPWT) to maintain an efficient, clean, and orderly workplace using 5S principles.
• Coordinate, communicate, and assist in monitoring workflow and tasks necessary to manage fluctuating volumes.
• Provide feedback to the team to identify educational and mediation needs by reporting issues, problems, and opportunities (IPOs).
• Demonstrate competence to perform assigned responsibilities meeting the population‑specific and developmental needs of members served.
• Adapt assessment, treatment, and service methods to accommodate unique physical, psychosocial, cultural, age‑specific, and other developmental needs of each member.
• Take personal responsibility to ensure compliance with all policies, procedures, and standards promulgated by state and federal agencies, the hospital, and other regulatory entities.
• Perform all duties in a manner that protects patient confidentiality and does not disclose confidential information unless necessary for job duties.
• Perform other duties as assigned.

Requirements

• High School Diploma or equivalent (preferred).
• 1–3 years of related experience (preferred).
• No specific licenses, registrations, or certifications required.

Schedule

Work Schedule: 7 AM – 7 PM

Work Type: Full Time