Patient Access Representative

Patient Access Representative

Position Summary:

Collections patient demographic, insurance, and financial information for outpatient services and inpatient admissions. Verifies benefits, obtains authorizations as needed, and collects co-pays/deductibles at the point of service to efficiently expedite the admitting process. Provides a positive first impression of the facility.

• Ensures all required demographic, billing, and clinical data are obtained and accurately entered into the registration system in a timely manner.
• Distributes and explains forms, documents, and educational handouts to patients and families.
• Verifies insurance benefits and obtains precertification/authorization as necessary.
• Determines and accepts required payments (e.g., co-pays, deductibles) or refers to financial counseling as appropriate.
• Communicates professionally in-person and by phone; provides clear instructions and excellent customer service.
• Protects patient privacy and confidentiality in all registration activities.
• Participates in performance improvement and required education.
• Works alternate shifts/areas as needed to support department operations.
• Performs other duties as assigned.

Essential Functions

• Ensures all required demographic, billing, and clinical data are obtained and accurately entered into the registration system in a timely manner.
• Distributes and explains forms, documents, and educational handouts to patients and families.
• Verifies insurance benefits and obtains precertification/authorization as necessary.
• Determines and accepts required payments (e.g., co-pays, deductibles) or refers to financial counseling as appropriate.
• Communicates professionally in-person and by phone; provides clear instructions and excellent customer service.
• Protects patient privacy and confidentiality in all registration activities.
• Participates in performance improvement and required education.
• Works alternate shifts/areas as needed to support department operations.
• Performs other duties as assigned.

Additional Information

• Patient Access Representative does not treat or provide clinical care to patients.
• Protected Health Information accessed includes demographic, insurance, and financial information.
• Physical requirements include frequent keyboard data entry, sitting, audible speech and hearing; frequent reaching and repetitive hand/arm movements; occasional walking, standing, squatting, pushing/pulling and lifting/carrying up to 25 lbs; rare climbing, kneeling, running, and higher-force tasks.
• Visual demands include near/far vision and depth perception (constant), color distinction (constant); smell and taste rarely required.
• Exposure includes occupational exposure to bloodborne pathogens may be present; occasional exposure to biological and rare exposure to chemical hazards (e.g., dust, gases/vapors/fumes); latex exposure rare.

Knowledge, Skills & Abilities

• Education: High School diploma preferred.
• Skills: Critical thinking, decisive judgment, and ability to work with minimal supervision in a fast-paced environment. Rapid learning and navigation of multiple software systems. Effective English communication (read, write, speak, and understand). Ability to complete the Skills Competency Checklist within 90 days of hire.

EEOC Statement

Fleming County Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law. Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.